Epithelioid sarcoma (ES) is a high-grade, soft tissue tumor of mesenchymal origin that rarely occurs in children and is often misdiagnosed as a benign entity. We present the case of a 12-year-old girl with a delayed diagnosis of ES of the left thumb. Radiological examination showed possible calcinosis from inflammation or traumatic injury. However, histopathological and immunohistochemistry studies showed findings consistent with a diagnosis of ES. She was treated with amputation of the interphalangeal joint of the left thumb. This case highlights the clinical and pathologic correlation required for the appropriate diagnosis and treatment of patients with soft tissue masses.
Publications by Year: 2022
2022
McCormack, L., Bauer, A., Anderson, M. E., & Hussain, S. (2022). Epithelioid Sarcoma Presenting in the Thumb of a Child.. The Journal of Hand Surgery, 47(8), 797.e1-797.e4. https://doi.org/10.1016/j.jhsa.2021.05.012 (Original work published 2022)
Del Piñal, F., Jupiter, J. B., Rozental, T. D., Arora, R., Nakamura, T., & Bain, G. I. (2022). Distal radius fractures.. The Journal of Hand Surgery, European Volume, 47(1), 12-23. https://doi.org/10.1177/17531934211028711 (Original work published 2022)
The management of distal radius fractures has evolved considerably in the last two decades. Techniques and hardware have improved so much that the surgeon can usually assure good results in these debilitating fractures. Yet no one method can be used for all injuries, as the personality of each fracture demands a customized approach. Furthermore, what works in one age group may not work in another. For this reason, every available treatment has its own space in our options. The need for surgeons to be well versed in all techniques is critical. We offer a concise update of important evolutionary and current treatment guidelines for this common fracture.