Title: Ewing’s Sarcoma of Hand - A Rare Case Report

Authors: G.D.Bakhshi, Shalmali Dharmadhikari, Jessicka Shah, Owais Ahmed Patel, Zarin Rangwala, Aishwarya Mohan, Furqan Abdul Waheed, Kanishk Patil

 DOI: https://dx.doi.org/10.18535/jmscr/v8i11.48

Abstract

Ewing’s sarcoma of the hand is a rare entity which may be missed unless a high degree of suspicion is maintained. A case of a 19 year old female is presented who came with complaints of swelling involving her left hand. It was associated withulceration and foul smelling discharge. Patient was from a rural set up hence initially her condition may have been neglected resulting in massive growth of the tumour causing physical & social morbidity.  Biopsy of this swelling was suggestive of malignant small round cell tumour. Immunohistochemistry was CD 99 positive.  After appropriate work up patient underwent left below elbow amputation. Histopathological examination confirmed Ewing’s sarcoma arising from the metacarpals of the left hand. Post-operative course was uneventful. Patient refused to undergo adjuvant chemoradiation therapy. Follow up of 9 months has shown her to be disease & symptom free. A brief case report with review of literature is presented.

Keywords: Ewings sarcoma, hand, adolescent female.

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Corresponding Author

Shalmali Dharmadhikari

Dharmadhikari Hospital, Nitin Heights, Opposite Janseva Bank, Pune Solapur Road, Hadapsar, Pune-411028, India