Fibrosarcoma of metacarpal treated by combined therapy and immediate reconstruction with vascularized bone graft.
Fibrosarcomas of the bones of the hand are very rare entities. We present a case of low-grade fibrosarcoma of the left third metacarpal that was successfully treated by preoperative intraarterial chemotherapy, wide local excision, and immediate reconstruction with a vascularized bone graft from the ipsilateral radius. Excellent hand function has been preserved and the patient remains free of recurrence 5 years after presentation.
Department of Plastic and Reconstructive Surgery, Royal Prince Alfred Hospital, Sydney, Australia.
D G
DG
Pennington
W
W
Marsden
F O
FO
Stephens
D000293:Adolescent; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D001859:Bone Neoplasms / Q000188:drug therapy / Q000601:surgery*; D016025:Bone Transplantation; D017024:Chemotherapy, Adjuvant; D005260:Female; D005354:Fibrosarcoma / Q000188:drug therapy / Q000601:surgery*; D006801:Humans; D007261:Infusions, Intra-Arterial; D008663:Metacarpus