Dermatologic Surgery by Jonathan Kantor

Author:Jonathan Kantor
Language: eng
Format: epub
Publisher: McGraw-Hill Education LLC
Published: 2018-05-30T04:00:00+00:00

Epithelioid sarcoma is the most common soft-tissue sarcoma of the hand, and is a rare, aggressive tumor with high rates of local recurrence and metastasis. It initially presents as a slow-growing, skin-colored, palpable nodule in the deep soft tissue, dermis, or subcutis. It is seen predominantly in younger males on the fingers, hands, and forearms.33 Misdiagnosis, clinically and histopathologically, is common due to its banal appearance during initial growth and its microscopic similarity to inflammatory granulomatous conditions.34 By the time diagnosis is made, multiple nodules may be present and pain, drainage, contractures, or neurologic symptoms may have occurred.

The anatomic location of epithelioid sarcoma may influence prognosis, as the proximal type (arising proximal to the elbow or knee) has worse rates of overall survival and metastasis-free survival than more distal tumors. Treatment involves wide local excision, sentinel lymph node evaluation, and adjuvant radiotherapy.

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