title: A swollen middle finger in a middle-aged farmer.
abstract: Hand tumors are not common and a swollen finger poses considerable diagnostic dilemma. We present a case of a middle-aged farmer who had presented with a painless swelling of the middle finger of the right hand without any neurovascular deficit or evidence of metastasis. An X-ray of the finger showed cortical expansion and bony erosion of the proximal phalanx. A fine needle aspiration cytological examination was inconclusive. He underwent a digit amputation in view of subsequent morbidity and chances of recurrence following local excision. Biopsy proved it to be a giant cell tumor of the proximal phalanx. Following six months of treatment he is doing well. We herein highlight an unusual tumor of the finger and its diagnostic and treatment challenges.
authors.affiliation: Department of General Surgery, Institute of Medical Sciences, Banaras Hindu University Varanasi, India.
authors.forename: Somprakas
authors.initials: S
authors.lastname: Basu
authors.forename: Shilpi
authors.initials: S
authors.lastname: Bhadani
authors.forename: Vijay Kumar
authors.initials: VK
authors.lastname: Shukla
mesh_terms: D000671:Amputation, Surgical; D001859:Bone Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D005385:Fingers; D018212:Giant Cell Tumor of Bone / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography