PMC4319329_01
Plane hand radiograph reveals bone erosion in the right thumbs' distal phalanges
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F1
On plane hand radiographs, an erosion of the distal phalanges of both thumbs was clearly evident [Figures 1 and 2].
Plane hand radiograph reveals bone erosion in the left thumbs' distal phalanges
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F2
On plane hand radiographs, an erosion of the distal phalanges of both thumbs was clearly evident [Figures 1 and 2].
Histopathologic microphotographs reveal squamous cell carcinoma ([a] x40 and [b] x100)
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F3
Consequently, the surgeon planned to excise the discharging ulcerative lesion of the right thumb and to submit it for histopathological diagnosis, which clearly revealed squamous cell carcinoma Grade II [Figure 3].
Postoperative view
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F4
Based on such a diagnosis, the surgeon decided to excise the distal phalanges of both thumbs with tumor free-margins [Figure 4].