Primary osteogenic sarcoma of a finger proximal phalanx: a case report and literature review.
Osteogenic sarcoma of the small bones of the hand is rare with only 15 cases documented. We describe a 12-year-old boy with an osteogenic sarcoma of the proximal phalanx of the middle finger. Wide excision in the form of ray amputation with a wide surgical margin was performed after neoadjuvant chemotherapy consisting of combined high-dose methotrexate, doxorubicin, ifosfamide, and cisplatin. To restore maximum function the index ray was transferred to the base of the third metacarpal. Adjuvant chemotherapy was administered subsequently. At 28-month follow-up evaluation there was no evidence of local recurrence of disease or distant metastasis and both function and appearance were good.
Honoki
K
K
Department of Orthopedic Surgery, Nara Medical University, Nara, Japan.
Miyauchi
Y
Y
Yajima
H
H
Takakura
Y
Y
Tamai
S
S
D000671:Amputation, Surgical; D001859:Bone Neoplasms / Q000188:drug therapy / Q000473:pathology / Q000601:surgery*; D017024:Chemotherapy, Adjuvant; D002648:Child; D005385:Fingers; D018737:Hand Strength; D006801:Humans; D008297:Male; D012516:Osteosarcoma / Q000188:drug therapy / Q000473:pathology / Q000601:surgery*