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Epithelioid sarcoma and concurrent Volkman ischaemic contracture: a case report
M P Suria-Hayati1, M A Siti-Aishah, A Eshagroni
1Department of Pathology, Universiti Kebangsaan Malaysia Medical Centre, JalanYaacob Latif, 56000 Cheras, Kuala Lumpur, Malaysia.
La Clinica Terapeutica
|September 12, 2012
Summary
Epithelioid sarcoma, a rare soft tissue cancer, can present with painful limb swelling and contractures. Early histological diagnosis is crucial to differentiate it from other conditions.
Area of Science:
- Oncology
- Pathology
Background:
- Epithelioid sarcoma is a rare, aggressive soft tissue malignancy.
- It predominantly affects young adults and the distal extremities.
Observation:
- A 34-year-old presented with a year-long history of left upper limb pain, swelling, and Volkmann contracture.
- Initial treatment focused on soft tissue inflammation.
- CT revealed multiple hypodense lesions in the left arm's flexor compartment and subcutaneous tissue.
Findings:
- Histological examination confirmed epithelioid sarcoma with nodular proliferation of epithelioid and rhabdoid tumor cells surrounding necrosis.
- The concurrent presence of epithelioid sarcoma and Volkmann ischemic contracture is exceptionally rare.
Implications:
- This case underscores the diagnostic challenges of epithelioid sarcoma, which can be mistaken for other sarcomas or granulomas.
- Accurate histological evaluation is vital for timely and appropriate patient management.