2000 Volume 49 Issue 4 Pages 1108-1111
Osteosarcoma rarely occurs in the hand. We report a case of osteosarcoma arising in the fourth metacarpal and review of the literature.
A 40-year-old man suffered from the pathological fracture of the fourth metacarpal while playing volleyball. Bone tumor of the fourth metacarpal was found in radiographs of the fracture of the left index finger 15 years ago.
Serological examination results including alkaline phosphatase were within the normal range.
Pathological diagnosis of the incisional biopsy indicated possible mesenchymal chondrosarcoma. Wide resection and reconstruction with fibula graft were performed.
Final pathological diagnosis was osteosarcoma, fibroblastic grade 4. Following surgery, chemotherapy was done. One year after surgery, bone union was achieved and the patient showed no local recurrence nor distant metastasis.
