Original CommunicationsPrimary osteogenic sarcoma of a finger proximal phalanx: A case report and literature review☆,☆☆
Section snippets
Case report
A 12-year-old boy presented with painful swelling in the proximal phalanx of the left middle finger of 1 month's duration. He had no remarkable medical or family history.
Examination revealed tender swelling of the radial side of the middle finger at the level of the proximal phalanx. Range of motion testing of the middle finger metacarpophalangeal joint elicited pain (Fig. 1).
Discussion
Osteogenic sarcoma in the small tubular bones of the hands is uncommon, constituting only 0.1% to 0.2% of all cases.14, 15 We have identified 36 cases of this tumor type, excluding extraskeletal cases, in the hand in an extensive literature search, 15 of which involved phalanges. In the previously reported cases of osteogenic sarcomas in the phalanges, the mean age was 49 years (range, 16–81 years) and the incidence of secondary cases was high: 6 of 15 were secondary and 9 of 15 were primary
Acknowledgements
The authors thank Yoshio Mii, MD, for advice on the histologic findings; Toru Morishita, MD, Kazuhisa Kizaki, MD, Toru Yamauchi, MD, Nana Kuramoto, MD, and Shinji Isomoto, MD, for assistance; and Malcolm Moore, PhD, for linguistic advice.
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No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.
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Reprint requests: Kanya Honoki, MD, Department of Orthopedic Surgery, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8522, Japan.