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[Finger fibrosarcoma. A case report]

M Ouarab1, S Fnini, M Rahmi

  • 1Service de Chirurgie Orthopédique et Traumatologique, CHU Ibnou Rochd, Casablanca, Maroc.

Annales De Chirurgie De La Main Et Du Membre Superieur : Organe Officiel Des Societes De Chirurgie De La Main = Annals of Hand and Upper Limb Surgery
|January 1, 1995
PubMed
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Fibrosarcoma of the hand is rare, often affecting soft tissues. Surgical resection, like finger amputation, is crucial for treatment and preventing recurrence.

Area of Science:

  • Orthopedic Surgery
  • Surgical Oncology
  • Hand Tumors

Background:

  • Fibrosarcoma is an uncommon malignancy, with hand involvement being particularly rare.
  • The incidence of fibrosarcoma in the hand ranges from 2.7% to 5.3% of all soft tissue tumors.
  • These tumors frequently present as ulcerated masses with potential for bone erosion.

Observation:

  • A case report details a 52-year-old female with a two-year history of an ulcerated tumor on the palmar aspect of her right index finger.
  • Radiographic imaging revealed significant erosion of the second phalanx due to tumor mass.
  • The tumor's large volume necessitated a proximal amputation of the affected finger.

Findings:

  • Histological examination confirmed the diagnosis of fibrosarcoma.

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  • Complete tumor resection was achieved through surgical amputation.
  • Post-operative follow-up at 8 months showed no evidence of recurrence or distant metastasis.

    • Implications:

    • Aggressive surgical management, including wide carcinological resection, is the primary treatment for hand fibrosarcoma.
    • Amputation, while radical, offers a viable option for complete tumor removal and management of extensive disease.
    • Early diagnosis and surgical intervention are key to improving outcomes and minimizing recurrence rates, estimated at 12% after amputation.