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Peripheral Primitive Neuroectodermal Tumour of the Hand in an Adult

From the Royal Orthopaedic Hospital, Birmingham, UK, the Queen Elizabeth Hospital, Birmingham, UK and the Good Hope Hospital, Sutton-Coldfield, UK

Correspondence: S. Jayakumar, Senior House Officer, Royal Orthopaedic Hospital, Bristol Road South, Northfield, Birmingham B32 2AP UK. Tel.: +44 1216854717; fax: +44 121 6854162. E-mail:shivajayakumar{at}gmail.com

We present a case of a 28 year-old woman who presented with a peripheral primitive neuroectodermal tumour of the right hand involving the fifth metacarpal and little finger. She underwent excision biopsy, then ray amputation of her right little finger. Initial radiological staging did not reveal metastasis but, after recurrence locally at two years and in spite of adjuvant chemotherapy and radiotherapy, the patient died of progressive metastatic disease 4 years later. The current concepts and difficulties in diagnosing these tumours are discussed.

Key Words: primitive neuroectodermal tumour • primitive neuroectodermal tumour of the hand • hand tumours • Ewing’s family of tumours

Journal of Hand Surgery (European Volume), Vol. 32, No. 4, 460-461 (2007)
DOI: 10.1016/J.JHSE.2007.04.001


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