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A swollen middle finger in a middle-aged farmer
Somprakas Basu1, Shilpi Bhadani, Vijay Kumar Shukla
1Department of General Surgery, Institute of Medical Sciences, Banaras Hindu University Varanasi, India.
Summary
A rare giant cell tumor of the proximal phalanx presented as a finger swelling in a farmer. Diagnosis was challenging, leading to digit amputation and subsequent successful treatment.
Area of Science:
- Orthopedic Surgery
- Oncology
- Radiology
Background:
- Hand tumors are uncommon, presenting diagnostic challenges.
- Giant cell tumors (GCTs) are typically found in long bones, rarely in digits.
Observation:
- A middle-aged farmer presented with a painless, swollen right middle finger.
- Imaging revealed bony erosion and expansion of the proximal phalanx.
- Fine needle aspiration cytology was inconclusive.
Findings:
- The final diagnosis was a giant cell tumor of the proximal phalanx.
- Digit amputation was performed due to morbidity and recurrence risk.
- The patient recovered well six months post-treatment.
Implications:
- This case highlights the diagnostic and management complexities of unusual hand tumors.
- Early recognition and appropriate surgical intervention are crucial for favorable outcomes.
- Further research into GCTs of the phalanx may improve diagnostic accuracy.
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