Osteosarcoma associated with absent thumbs: A report of two cases Journal Article


Authors: Orme, L.; Gorlick, R.; Meyers, P. A.; Athanasian, E.; Huvos, A. G.
Article Title: Osteosarcoma associated with absent thumbs: A report of two cases
Abstract: An 8-year-old Hispanic boy with a hypoplastic left thumb, absent right thumb, and short stature experienced right leg pain and limp. A right tibial lesion was imaged and found to be osteosarcoma on biopsy. A 6-year-old Hispanic girl with congenitally absent thumbs experienced a pathologic fracture of her left femur after a minor sports injury. The radiologic abnormality seen was diagnosed as osteosarcoma on biopsy. Both patients continue to do well after intensive preoperative and postoperative high-dose chemotherapy and definitive reconstructive limb surgery. Osteosarcoma has been linked to several congenital syndromes in which absent thumbs are a feature. These two patients with absent thumbs and no definable syndrome experiencing osteosarcoma suggest that congenitally absent thumbs might be a risk factor for osteosarcoma in the absence of a syndrome.
Keywords: osteosarcoma; cancer chemotherapy; child; bone neoplasms; cancer surgery; case report; plastic surgery; cisplatin; doxorubicin; methotrexate; risk factors; risk factor; ifosfamide; short stature; femur fracture; fanconi anemia; bone biopsy; thumb; pathologic fracture; finger malformation; humans; human; male; female; priority journal; article; rothmund-thomson syndrome; baller-gerold syndrome; hypoplastic-aplastic thumb; hand deformities, congenital
Journal Title: Journal of Pediatric Hematology/Oncology
Volume: 22
Issue: 1
ISSN: 1077-4114
Publisher: Lippincott Williams & Wilkins  
Date Published: 2000-01-01
Start Page: 73
End Page: 77
Language: English
DOI: 10.1097/00043426-200001000-00014
PUBMED: 10695826
PROVIDER: scopus
DOI/URL:
Notes: Export Date: 18 November 2015 -- Source: Scopus
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  1. Richard G Gorlick
    121 Gorlick
  2. Lisa M Orme
    6 Orme
  3. Paul Meyers
    311 Meyers
  4. Andrew G Huvos
    289 Huvos