Two cases of pediatric epithelioid sarcoma of the hand and coverage with Integra®

Mihaela Năstasă, Vincent Casoli


Epithelioid sarcoma is an uncommon soft tissue tumor of the hand characterized by high frequency misdiagnosis and high potential for local recurrence and regional lymph node metastasis. The recommended treatment is wide excision, which leaves complex tissue defects with tendon or neurovascular structure exposure requiring coverage. We present two patients who had tumor excision followed by wound coverage with dermal regeneration template and split-thickness skin graft. Integra® template represents a different approach, which provides a safe, reliable and effective means of soft tissue coverage of the hand.


epithelioid sarcoma; pediatric; wide excision; Integra; reconstruction

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