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Ewings Sarcoma of the HandFrom the Mayo Clinic College of Medicine, Departments of Orthopedic Surgery, Pathology, and Radiology, Rochester, MN, USA Correspondence: P.C. Amadio, MD, Department of Orthopedic Surgery, Mayo Clinic, 200 1st St., SW, Rochester, MN 55905, USA. Tel.: +1 507 284 2806; fax: +1 507 284 5539. E-mail:pamadio{at}mayo.edu. A retrospective case review was carried out to report the outcomes in a contemporary case series of Ewings sarcoma originating in the hand. We identified five patients treated since 1995. All five had wide surgical excision, one by ray amputation. All were treated with chemotherapy. Four patients also received radiation therapy, two to treat metastases and two as an adjunct to local excision. There were no local recurrences. Two patients developed metastases. Both died of their disease. Neither of these two patients had received local postoperative radiation therapy; one did not receive chemotherapy before definitive surgery. The other three patients were alive and free of disease at last follow-up, 4 to 12 years after initial presentation.
Key Words: Ewings sarcoma hand neuroectodermal round cell tumour
This version was published on February
1, 2009 Journal of Hand Surgery (European Volume), Vol. 34, No. 1,
35-39 (2009) |
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