Chronic indurated ulceration of the leg, epithelioid sarcoma with lymph node metastasis.
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.
Atugoda
S
S
Department of Dermatology and Allergy, University Medical Center Charité, Humboldt-University of Berlin, Schumannstr, 20-21, 10117 Berlin, Germany.
Audring
H
H
Voit
C
C
Sterry
W
W
Blume-Peytavi
U
U
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