Epithelioid Sarcoma Presenting as Non-Healing Traumatic Ulcer: A Case Report and Review of the Literature.
| Autor: | Mohammedali S; Plastic Surgery, Hamad Medical Corporation, Doha, QAT., Quazi SJ; Plastic and Reconstructive Surgery, Hamad Medical Corporation, Doha, QAT.; Plastic Surgery, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA., Muneer M; Plastic and Reconstructive Surgery, Hamad Medical Corporation, Doha, QAT., Mohammed M; Plastic and Reconstructive Surgery, Hamad Medical Corporation, Doha, QAT., Hammouda A; Plastic Surgery, Hamad Medical Corporation, Doha, QAT. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2021 Mar 20; Vol. 13 (3), pp. e14014. Date of Electronic Publication: 2021 Mar 20. |
| DOI: | 10.7759/cureus.14014 |
| Abstrakt: | Epithelioid sarcoma is a rare soft tissue sarcoma. It is a slow-growing neoplasm, which usually presents as a painless mass in the extremities and typically grows along deep dermal and subcutaneous planes. In contrast to other types of sarcoma, it has a strong tendency for nodal metastasis and local metastasis adjacent to the primary lesion within the affected limb. In this article, we present a case of chronic traumatic ulcer in the upper extremity in an adolescent male that was subsequently diagnosed as epithelioid sarcoma, which is a very unusual mode of presentation of this particular tumour. The patient was treated with wide local excision and reconstruction with a free flap. Histopathological examination and immunochemistry studies confirmed the diagnosis and the patient underwent radiotherapy post-operatively as a part of the treatment regime. His post-treatment period was unremarkable, and he was put on regular surveillance to monitor the development of any signs of disease recurrence. Patients with epithelioid sarcomas often present late due to the slow-growing nature of the tumour. Unusual presentations like this will further delay the diagnosis and treatment, which will eventually worsen the prognosis. Awareness of such presentations can encourage primary care physicians to make early referrals to experts, which, in turn, may help the patients get early treatment and have a better prognosis. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2021, Mohammedali et al.) |
| Databáze: | MEDLINE |
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