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Journal of Hand Surgery (European Volume)
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Article

Ewing's sarcoma of the hand

Okechukwu A. Anakwenze, Wendy L. Parker, Lester E. Wold, K.K. Amrami, and Peter C. Amadio*

From the Mayo Clinic College of Medicine, Departments of Orthopedic Surgery, Pathology, and Radiology, Rochester, MN, USA

* To whom correspondence should be addressed.


  Abstract

A retrospective case review was carried out to report the outcomes in a contemporary case series of Ewing's 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

First published on December 17, 2008, doi:10.1177/1753193408094922

Journal of Hand Surgery (European Volume) 2009;34:35.

A more recent version of this article appeared on February 1, 2009

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