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Epithelioid Sarcoma Presenting as Recurrent Thumb Ulcer: a Lesson to Learn
L K Rajeev1, Vikas Asati1, Suresh Babu1
11Department of Medical Oncology, Kidwai Memorial Institute of Oncology, 214, Men's Hostel, Bangalore, 560029 India.
Indian Journal of Surgical Oncology
|June 12, 2018
Summary
Epithelioid sarcoma, a rare soft-tissue cancer, often mimics skin conditions and can spread to distant sites. This case highlights its aggressive nature, presenting as an ulcer on the thumb and metastasizing widely.
Area of Science:
- Oncology
- Pathology
- Dermatology
Background:
- Epithelioid sarcoma is a rare soft-tissue malignancy.
- It typically affects young adults and adolescents, often presenting in the extremities.
- Misdiagnosis is common due to its resemblance to benign skin lesions.
Observation:
- A case of epithelioid sarcoma presented as an ulcer on the left thumb.
- The initial presentation mimicked a non-healing ulcer.
- The patient was a young adult.
Findings:
- The epithelioid sarcoma metastasized from the thumb to the forearm and arm.
- Axillary lymph nodes were involved.
- Pulmonary metastases were also observed.
Implications:
- This case underscores the importance of considering rare malignancies in persistent skin lesions.
- Early and accurate diagnosis is crucial for managing epithelioid sarcoma.
- Metastatic potential necessitates thorough staging and treatment planning.
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