case_images: PMC4319329_01
case_images: Plane hand radiograph reveals bone erosion in the right thumbs' distal phalanges
case_images: CCD-6-116-g001.jpg
case_images: PMC4319329_01_CCD-6-116-g001.jpg
case_images: F1
case_images: On plane hand radiographs, an erosion of the distal phalanges of both thumbs was clearly evident [Figures 1 and 2].
case_images: Plane hand radiograph reveals bone erosion in the left thumbs' distal phalanges
case_images: CCD-6-116-g002.jpg
case_images: PMC4319329_01_CCD-6-116-g002.jpg
case_images: F2
case_images: On plane hand radiographs, an erosion of the distal phalanges of both thumbs was clearly evident [Figures 1 and 2].
case_images: Histopathologic microphotographs reveal squamous cell carcinoma ([a] x40 and [b] x100)
case_images: CCD-6-116-g003.jpg
case_images: PMC4319329_01_CCD-6-116-g003.jpg
case_images: F3
case_images: 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].
case_images: Postoperative view
case_images: CCD-6-116-g004.jpg
case_images: PMC4319329_01_CCD-6-116-g004.jpg
case_images: F4
case_images: Based on such a diagnosis, the surgeon decided to excise the distal phalanges of both thumbs with tumor free-margins [Figure 4].