Sentinel node biopsy as an adjunct to limb salvage surgery for epithelioid sarcoma of the hand.
BACKGROUND
Epithelioid sarcomas of the hand are rare, high-grade tumors with a propensity for regional lymphatic spread approaching 40%.


METHODS
A 54-year-old male with an epithelioid sarcoma of the palm was treated with neoadjuvant radiation, wide excision, and two-stage reconstruction. Sentinel lymph node biopsy was used to stage the patient's axilla. Sentinel node biopsy results were negative. The patient has remained free of local, regional and distant disease for the follow-up time of 16 months.


CONCLUSIONS
The rarity of this tumor makes definitive conclusions difficult but SLN biopsy appears to be a useful adjunct in the treatment of these sarcomas.
University of British Columbia, Vancouver, British Columbia, Canada. aseal@interchange.ubc.ca
Alex
A
Seal
Raymond
R
Tse
Bret
B
Wehrli
Alex
A
Hammond
Claire L F
CL
Temple