A review of the literature regarding Ewing's sarcoma indicates that tumors located in small bones are apparently a rare finding. In 75% of cases, long bones of the extremities, including the shoulder girdle, were involved; lower extremities were involved in 50% of cases. The predilection for metaphysis in long bones was noted. In the series reported by McCormack, Dockerty, and Ghormley1 no cases of phalangeal tumors are reported. In a study of 424 primary malignant tumors of the bone, Meyerding2 found that Ewing's sarcoma of all bones constituted approximately 27%.
The condition is rare. At the Mayo Clinic, primary bone tumors occur in about 1 in 10,000 patients. The only case seen in a phalanx of the toe is reported by Geschickter (tumor of bone, 1930). He mentions a few that were located in the tarsus and metatarsus. There is a report3 of Ewing's sarcoma of the