title: Chronic indurated ulceration of the leg, epithelioid sarcoma with lymph node metastasis.
abstract: Epithelioid sarcoma is a seldom seen tumor characterized by an innocuous presentation of a non tender nodule or cluster of nodules located on a distal extremity with a high propensity for nodal spread as well as relentless local progression. We describe a patient with the neoplasm masquerading as chronic leg ulcers of unknown origin with an unusual immunohistochemical profile. The difficulty of timely clinical and histological diagnosis is a key problem encountered. Better awareness may result in earlier diagnosis and improved prognosis.
authors.affiliation: Department of Dermatology and Allergy, University Medical Center Charité, Humboldt-University of Berlin, Schumannstr, 20-21, 10117 Berlin, Germany.
authors.forename: S
authors.initials: S
authors.lastname: Atugoda
authors.forename: H
authors.initials: H
authors.lastname: Audring
authors.forename: C
authors.initials: C
authors.lastname: Voit
authors.forename: W
authors.initials: W
authors.lastname: Sterry
authors.forename: U
authors.initials: U
authors.lastname: Blume-Peytavi
mesh_terms: D000368:Aged; D002908:Chronic Disease; D003951:Diagnostic Errors; D006801:Humans; D007871:Leg Ulcer / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology; D008207:Lymphatic Metastasis; D008297:Male; D012509:Sarcoma / Q000175:diagnosis* / Q000473:pathology / Q000556:secondary; D012878:Skin Neoplasms / Q000175:diagnosis* / Q000473:pathology