To present a rare case of Ewing sarcoma in the first metacarpal of a child's dominant thumb and discuss the treatment approach involving thumb-sparing resection and fibular graft reconstruction, highlighting its significance in pediatric oncology.
Key Findings:
Ewing sarcoma of the first metacarpal is extremely rare, especially in pediatric patients, necessitating innovative treatment approaches.
Thumb-sparing resection with fibular graft reconstruction is a viable alternative to amputation, potentially improving quality of life.
Despite a poor histological response, the surgical margins were tumor-free, indicating effective local control.
Interpretation:
The case illustrates the potential for limb-sparing surgery in pediatric Ewing sarcoma, emphasizing the importance of balancing oncological safety with functional preservation to enhance patient outcomes.
Limitations:
Limited generalizability due to the rarity of the case.
Short follow-up period may not capture long-term outcomes.
Further research is needed to validate the effectiveness of this approach in larger cohorts.
Conclusion:
This case supports the use of limb-sparing techniques in selected pediatric patients with Ewing sarcoma of the first metacarpal, highlighting the importance of oncological principles in achieving functional outcomes.
