Case Report | Case Rep J. 2018;2(1):006 | Open Access

Epithelioid Sarcoma of the Big Toe: A Case Report

Ghorbel I, M′Chirgui M, Abid A, Karra A and Ennouri K



Background: Epithelioid sarcoma is a rare form of soft tissue sarcoma. It appears as a subcutaneous mass at the extremities of adolescents and young adults. The notion of trauma is often reported. The location at the foot is exceptional. Through a case of epithelioid sarcoma of the big toe, we will detail the clinical and histological characteristics of this tumor, its main differential diagnosis and the therapeutic procedures.
Case presentation: We report a case of an epithelioid sarcoma of distal location in an 18-year-old man, who consults initially for a chronic fistula in the right big toe. He has undergone surgical excision. One year later he consulted for a revival of the inflammatory and infectious phenomena evolving towards fistulization despite a well conducted treatment. Surgery, fustilectomy and bacteriological samples for specific germs and histopathological examination were performed. The results of the pathologic examination and the immunohistochemical (IHC) were in favor of a distal-type epithelial sarcoma (grade 1 according to FNCLCC).The decision was to perform an extra-compartmental surgery associated with a lymph node biopsy.
Conclusion: Epithelioid sarcoma is a rare tumor, its location at the foot is unusual, and it must be considered in case of nodular or ulcerated lesion that does not yield under medical treatment in a young adult male.

Keywords: Epithelioid sarcoma; Soft tissue sarcoma; Case study; Malignant tumor; Surgical treatment

Citation: Ghorbel I, M′Chirgui M, Abid A, Karra A, Ennouri K. Epithelioid Sarcoma of the Big Toe: A Case Report. Case Rep J. 2018;2(1):006