The Journal of Bone and Joint Surgery (American) 83:1713-1717 (2001)
© 2001 The Journal of Bone and Joint Surgery, Inc.
Metastatic Clear-Cell Sarcoma of the Capitate
A Case Report
Bert Reichert, MD,
Josef Hoch, MD,
Werner Plötz, MD,
Peter Mailänder, MD and
Pierre Moubayed, MD
Bert Reichert, MD
Josef Hoch, MD
Werner Plötz, MD
Peter Mailänder, MD
Pierre Moubayed, MD
Division of Plastic Surgery (B.R., J.H., and P. Mailänder), Department
of Orthopedic Surgery (W.P.), and Department of Pathology (P. Moubayed),
Medical University of Lübeck, Ratzeburger Allee 160,
D-23538 Lübeck, Germany
No benefits in any form have been received or will be received from
a commercial party related directly or indirectly to the subject
of this article. No funds were received in support of this study.
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Introduction
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Clear-cell sarcoma is a very rare tumor that is intimately
associated with tendons or aponeuroses. It shares phenotypic features
with malignant melanoma and is therefore also referred to as melanoma
of the soft parts1. Women are
affected more commonly than men. Patients usually are between twenty
and forty years of age. Typical sites of the tumor are the limbs,
especially the region of the foot and ankle2.
Clear-cell sarcoma is a highly malignant tumor. Metastases to
the bones of the hand are very rare, accounting for 0.1% of all
metastases3. To our knowledge,
the capitate has not been previously reported as the initial metastatic
site of soft-tissue sarcoma. Radical excision or even amputation
is required for the treatment of such metastases.
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Case Report
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A twenty-nine-year-old man presented with a
four-week history of pain in the right foot. On physical
examination, the plantar surface of the foot was swollen and . . . [Full Text of this Article]
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