Abstract
Epithelioid sarcoma (ES) first described by Enzinger in 1970,[1] is a rare soft-tissue sarcoma typically presenting as a subcutaneous or deep dermal
mass in distal portions of the extremities of adolescents and young adults. They are
frequently mistaken for ulcers, abscesses, or infected warts that fail medical management.
Patients often develop multiple local recurrences of long duration, with subsequent
metastases in 30%–50% of cases.[2] We here report a case of left thumb ES that presented as an ulcer and subsequently
metastasized to the forearm, arm, axillary lymph nodes, and lungs.
Keywords
Distal type sarcoma - epithelioid sarcoma - hand sarcoma - thumb ulcer