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Chondrosarcoma in the distal phalanx of index finger: clinical report and literature review.
Chir Main. 2009 Sep; 28(4):265-9.CM

Abstract

Chondrosarcoma is the most common primary malignant bone tumour of the hand. This aggressive lesion is extremely rare in the distal phalanx and requires differential diagnosis with enchondroma and onycomatrichoma which are specific neoplasms of this phalanx. We report a case of chondrosarcoma arising from left index distal phalanx, which developed over a long period of time with a progressive deformity of the distal phalanx before becoming painful. The patient was investigated with X-ray and MRI scan which demonstrated a locally aggressive lesion. The surgical procedure was discussed with the patient and consisted of a wide resection with distal phalanx amputation; this surgery left an acceptable functional impairment. Recently, the optimal treatment for chondrosarcoma of the finger has been debated in the literature and a more conservative surgical approach has been proposed. Local recurrence and metastasis have been reported in the literature. Thus, after surgical treatment, the patients should be followed with careful postoperative surveillance.

Authors+Show Affiliations

Department of Orthopaedics and Traumatology, UOD Reconstructive Microsurgery, ASO CTO-Maria Adelaide, Lungodora Firenze 87, Turin, Italy. pierluigi.tos@unito.itNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

19345602

Citation

Tos, P, et al. "Chondrosarcoma in the Distal Phalanx of Index Finger: Clinical Report and Literature Review." Chirurgie De La Main, vol. 28, no. 4, 2009, pp. 265-9.
Tos P, Artiaco S, Linari A, et al. Chondrosarcoma in the distal phalanx of index finger: clinical report and literature review. Chir Main. 2009;28(4):265-9.
Tos, P., Artiaco, S., Linari, A., & Battiston, B. (2009). Chondrosarcoma in the distal phalanx of index finger: clinical report and literature review. Chirurgie De La Main, 28(4), 265-9. https://doi.org/10.1016/j.main.2009.02.002
Tos P, et al. Chondrosarcoma in the Distal Phalanx of Index Finger: Clinical Report and Literature Review. Chir Main. 2009;28(4):265-9. PubMed PMID: 19345602.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Chondrosarcoma in the distal phalanx of index finger: clinical report and literature review. AU - Tos,P, AU - Artiaco,S, AU - Linari,A, AU - Battiston,B, Y1 - 2009/03/17/ PY - 2008/10/21/received PY - 2009/02/01/revised PY - 2009/02/10/accepted PY - 2009/4/7/entrez PY - 2009/4/7/pubmed PY - 2009/11/17/medline SP - 265 EP - 9 JF - Chirurgie de la main JO - Chir Main VL - 28 IS - 4 N2 - Chondrosarcoma is the most common primary malignant bone tumour of the hand. This aggressive lesion is extremely rare in the distal phalanx and requires differential diagnosis with enchondroma and onycomatrichoma which are specific neoplasms of this phalanx. We report a case of chondrosarcoma arising from left index distal phalanx, which developed over a long period of time with a progressive deformity of the distal phalanx before becoming painful. The patient was investigated with X-ray and MRI scan which demonstrated a locally aggressive lesion. The surgical procedure was discussed with the patient and consisted of a wide resection with distal phalanx amputation; this surgery left an acceptable functional impairment. Recently, the optimal treatment for chondrosarcoma of the finger has been debated in the literature and a more conservative surgical approach has been proposed. Local recurrence and metastasis have been reported in the literature. Thus, after surgical treatment, the patients should be followed with careful postoperative surveillance. SN - 1769-6666 UR - https://www.unboundmedicine.com/medline/citation/19345602/Chondrosarcoma_in_the_distal_phalanx_of_index_finger:_clinical_report_and_literature_review_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1297-3203(09)00038-9 DB - PRIME DP - Unbound Medicine ER -