title: Primary osteogenic sarcoma of a finger proximal phalanx: a case report and literature review.
abstract: 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.
authors.affiliation: Department of Orthopedic Surgery, Nara Medical University, Nara, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Honoki
authors.forename: Y
authors.initials: Y
authors.lastname: Miyauchi
authors.forename: H
authors.initials: H
authors.lastname: Yajima
authors.forename: Y
authors.initials: Y
authors.lastname: Takakura
authors.forename: S
authors.initials: S
authors.lastname: Tamai
mesh_terms: 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*