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Pubmed for Handhelds

PUBMED FOR HANDHELDS

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  • Title: High-Grade Chondrosarcoma of the Proximal Phalanx: an Unusual Case of a Rare Entity.
    Author: Pagnotta A, Formica VM, Taccogna S, Summa G, Zoccali C.
    Journal: Acta Chir Orthop Traumatol Cech; 2023; 90(1):63-66. PubMed ID: 36907586.
    Abstract:
    Chondrosarcoma of the hand is a rare disease, but is one of the more common malignancies of the hand. Biopsies and imaging are a fundamental step in determining correct diagnosis, grading and selection for best treatment. We describe the case of a 77-year-old male complaining of a painless swelling in the proximal phalanx of the third ray of left hand. A biopsy was performed and the histology revealed a G2 chondrosarcoma. The patient underwent III ray amputation with metacarpal bone disarticulation and sacrifice of the radial digit nerve of the fourth ray. Definitive histology revealed grade 3 CS. Eighteen months after surgery, the patient is apparently disease-free with a good functional and aesthetic outcome although with persistent paresthesia of the fourth ray. Although there is no agreement in the literature for the treatment of low-grade chondrosarcomas, wide resection or amputation can be considered the mainstay treatment for high-grade tumors. Key words: chondrosarcoma, proximal phalanx, ray amputation, surgical treatment, tumor hand.
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