title: Peripheral primitive neuroectodermal tumour of the hand in an adult.
abstract: We present a case of a 28 year-old woman who presented with a peripheral primitive neuroectodermal tumour of the right hand involving the fifth metacarpal and little finger. She underwent excision biopsy, then ray amputation of her right little finger. Initial radiological staging did not reveal metastasis but, after recurrence locally at two years and in spite of adjuvant chemotherapy and radiotherapy, the patient died of progressive metastatic disease 4 years later. The current concepts and difficulties in diagnosing these tumours are discussed.
authors.affiliation: Royal Orthopaedic Hospital, Birmingham, UK. shivajayakumar@gmail.com
authors.forename: S
authors.initials: S
authors.lastname: Jayakumar
authors.forename: S
authors.initials: S
authors.lastname: Jatavalabulla
authors.forename: I M
authors.initials: IM
authors.lastname: Miller
mesh_terms: D000328:Adult; D000671:Amputation, Surgical; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D017024:Chemotherapy, Adjuvant; D003131:Combined Modality Therapy; D018450:Disease Progression; D005260:Female; D006225:Hand / Q000601:surgery*; D006801:Humans; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D018242:Neuroectodermal Tumors, Primitive / Q000175:diagnosis / Q000601:surgery*; D018714:Radiotherapy, Adjuvant; D012086:Reoperation; D012983:Soft Tissue Neoplasms / Q000175:diagnosis / Q000188:drug therapy / Q000532:radiotherapy / Q000601:surgery*