Epithelioid Sarcoma of 3rd Toe: A Rare Case Report

Abstract

Epithelioid sarcoma is a rare highly aggressive soft tissue sarcoma with a high incidence of local recurrence and metastasis. It is a tumor of uncertain histogenesis & poses a diagnostic difficulty as it is often misdiagnosed as other benign or malignant condition. Usually occurs in the distal extremities of young adults as a as a subcutaneous or deep dermal mass. We present the case of 49-year-old malepresenting with chief complaints of pain and gradually progressive swelling on right 3rd toe since 3 months. Based on clinicoradiological evaluation suggestive of malignancy, an amputation of toe was done. Histopathological & Immunohistochemical findings suggestive of Epithelioid sarcoma. The patient was referred to the oncology centre for further management where he was advised wide excision followed by radiotherapy. No regional or distant metastasis was found.