{Reference Type}: Case Reports {Title}: Osteoblastoma of the thumb with a novel PRSS44::ALK fusion and literature review of osteoblastoma of hands and feet bones. {Author}: Brandea AI;Afkhami M;Klein MJ;Bell D; {Journal}: Genes Chromosomes Cancer {Volume}: 63 {Issue}: 5 {Year}: 2024 05 {Factor}: 4.263 {DOI}: 10.1002/gcc.23241 {Abstract}: Osteoblastomas (OBs) are benign neoplasms constituting approximately 1% of primary bone tumors with a predilection for the spine and sacrum. We describe an OB of the proximal phalanx of the left thumb in a 38-year-old female. MRI of left hand demonstrated a 29-mm mildly expansile enhancing lesion involving the entire proximal phalanx of the first digit. Histology displayed a bone-forming tumor consisting of trabeculae of remodeled woven bone framed by plump osteoblasts in a vascularized background. Next-generation sequencing analysis identified a PRSS44::ALK fusion gene.