Squamous Cell Carcinoma in Combination with a Symbrachydactyly: Initial Management and Long-Term Followup

A 68-year-old female patient presented with a rapidly growing, exulcerating tumor of the left hand in the area of a congenital symbrachydactyly at the digiti II and III. A biopsy of the tumor showed a squamous cell carcinoma. Further workup showed two suspicious axillar enhancements with no evidence...

Full description

Saved in:
Bibliographic Details
Main Authors: Tomas Sanchez, Daniel Walder, Philipp Esenwein
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2014/684130
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850160595847872512
author Tomas Sanchez
Daniel Walder
Philipp Esenwein
author_facet Tomas Sanchez
Daniel Walder
Philipp Esenwein
author_sort Tomas Sanchez
collection DOAJ
description A 68-year-old female patient presented with a rapidly growing, exulcerating tumor of the left hand in the area of a congenital symbrachydactyly at the digiti II and III. A biopsy of the tumor showed a squamous cell carcinoma. Further workup showed two suspicious axillar enhancements with no evidence of bony infiltration and no further metastasis. An amputation of the second and third ray of the left hand at the metacarpal level and additionally an axillar revision and lymph node dissection were performed and confirmed the suspicion of a squamous cell carcinoma, fortunately without affection of any lymph nodes. After 9 years the patient showed an excellent function of the left hand. Symbrachydactyly malformations and squamous cell carcinoma of the hand are both rare conditions. We could not find a reference that shows a common genetic condition to both and so far this is the first description of a squamous cell carcinoma in the region of a symbrachydactyly. It remains unclear whether our case is a coincidence of two rare independent diseases or there is a pathogenetic link between the malformation and the tumor on a genetic level.
format Article
id doaj-art-a96ce69f29f84ffd910a8b806a29541b
institution OA Journals
issn 2090-6749
2090-6757
language English
publishDate 2014-01-01
publisher Wiley
record_format Article
series Case Reports in Orthopedics
spelling doaj-art-a96ce69f29f84ffd910a8b806a29541b2025-08-20T02:23:07ZengWileyCase Reports in Orthopedics2090-67492090-67572014-01-01201410.1155/2014/684130684130Squamous Cell Carcinoma in Combination with a Symbrachydactyly: Initial Management and Long-Term FollowupTomas Sanchez0Daniel Walder1Philipp Esenwein2Department of Orthopaedic Surgery, Kantonsspital Olten, Baslerstraße 150, 4600 Olten, SwitzerlandDepartment of Orthopaedic Surgery, Kantonsspital Olten, Baslerstraße 150, 4600 Olten, SwitzerlandDepartment of Orthopaedic Surgery, Kantonsspital Olten, Baslerstraße 150, 4600 Olten, SwitzerlandA 68-year-old female patient presented with a rapidly growing, exulcerating tumor of the left hand in the area of a congenital symbrachydactyly at the digiti II and III. A biopsy of the tumor showed a squamous cell carcinoma. Further workup showed two suspicious axillar enhancements with no evidence of bony infiltration and no further metastasis. An amputation of the second and third ray of the left hand at the metacarpal level and additionally an axillar revision and lymph node dissection were performed and confirmed the suspicion of a squamous cell carcinoma, fortunately without affection of any lymph nodes. After 9 years the patient showed an excellent function of the left hand. Symbrachydactyly malformations and squamous cell carcinoma of the hand are both rare conditions. We could not find a reference that shows a common genetic condition to both and so far this is the first description of a squamous cell carcinoma in the region of a symbrachydactyly. It remains unclear whether our case is a coincidence of two rare independent diseases or there is a pathogenetic link between the malformation and the tumor on a genetic level.http://dx.doi.org/10.1155/2014/684130
spellingShingle Tomas Sanchez
Daniel Walder
Philipp Esenwein
Squamous Cell Carcinoma in Combination with a Symbrachydactyly: Initial Management and Long-Term Followup
Case Reports in Orthopedics
title Squamous Cell Carcinoma in Combination with a Symbrachydactyly: Initial Management and Long-Term Followup
title_full Squamous Cell Carcinoma in Combination with a Symbrachydactyly: Initial Management and Long-Term Followup
title_fullStr Squamous Cell Carcinoma in Combination with a Symbrachydactyly: Initial Management and Long-Term Followup
title_full_unstemmed Squamous Cell Carcinoma in Combination with a Symbrachydactyly: Initial Management and Long-Term Followup
title_short Squamous Cell Carcinoma in Combination with a Symbrachydactyly: Initial Management and Long-Term Followup
title_sort squamous cell carcinoma in combination with a symbrachydactyly initial management and long term followup
url http://dx.doi.org/10.1155/2014/684130
work_keys_str_mv AT tomassanchez squamouscellcarcinomaincombinationwithasymbrachydactylyinitialmanagementandlongtermfollowup
AT danielwalder squamouscellcarcinomaincombinationwithasymbrachydactylyinitialmanagementandlongtermfollowup
AT philippesenwein squamouscellcarcinomaincombinationwithasymbrachydactylyinitialmanagementandlongtermfollowup