Primary osteogenic sarcoma of a finger proximal phalanx: A case report andliterature review

Osteogenic sarcoma of the small bones of the hand is rare with only 15 case s documented. We describe a 12-year-old boy with an osteogenic sarcoma of t he proximal phalanx of the middle finger. Wide excision in the form of ray amputation with a wide surgical margin was performed after neoadjuvant chem otherapy consisting of combined high-dose methotrexate, doxorubicin, ifosfa mide, and cisplatin. To restore maximum function the index ray was transfer red to the base of the third metacarpal. Adjuvant chemotherapy was administ ered subsequently. At 28-month follow-up evaluation there was no evidence o f local recurrence of disease or distant metastasis and both function and a ppearance were good. Copyright (C) 2001 by the American Society for Surgery of the Hand.