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Early distant metastases from epithelioid sarcoma of the hand
Author(s) -
Sugarbaker Paul H.,
Auda Stephen,
Webber Bruce L.,
Triche Timothy J.,
Shapiro Ellen,
Cook William J.
Publication year - 1981
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(19810801)48:3<852::aid-cncr2820480331>3.0.co;2-j
Subject(s) - medicine , occult , epithelioid sarcoma , malignancy , metastasis , sarcoma , lesion , radiology , pathology , cancer , alternative medicine
The authors describe a patient with epithelioid sarcoma in whom the presenting lesion was cervical lymph node metastasis. This proved to be a difficult diagnostic problem, until the occult primary tumor was discovered in the ipsilateral hand. A cerebral metastasis became evident early in the course of the disease. The authors believe this to be the first case reported in whom the presenting lesion was a nonregional metastasis. The rapid clinical progression of this patient's malignancy is of interest and illustrates the need for early radical intervention in patients with an epithelioid sarcoma, since the clinical course is not always indolent.