Common Soft Tissue Tumors Involving the Hand with Histopathological Correlation

Nepal, Pankaj; Songmen, Swachchhanda; Alam, Saeed; Gandhi, Darshan; Ghimire, Neeta; Ojili, Vijayanadh

doi:10.25259/jcis-6-2019

Cited by 20 publications

(36 citation statements)

References 40 publications

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“…Surrounding tissues are often displaced, which may result in sensory symptoms along the distribution of the digital nerve. Tenels sign may assist examination were percussion of the mass triggers pain or sensory symptoms along the affected nerve distribution [1] . The signal characteristics on MRI Figs 2 A and 2 B are reliably seen in schwannomas.…”

Section: Discussionmentioning

confidence: 99%

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Benign Schwannoma of the Thumb; a diagnostic challenge

Refalo

Mallina

2022

Radiology Case Reports

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Benign Schwannomas are one of the less frequently encountered soft tissue tumours of the hand. We report an interesting case of an 80-year-old gentleman with a painful soft tissue swelling on the radial aspect of his thumb. Ultrasound revealed a well-defined lesion separate from bone and tendon, with mixed echogenicity and moderate internal vascularity. Magnetic resonance imaging demonstrated a 15 × 10 × 23mm lesion with low signal on T1 and high signal on T2. Following surgical excision, histology confirmed benign schwannoma.

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Section: Discussionmentioning

confidence: 99%

“…Soft tissue tumours of the hand account for 15% of all soft tissue tumours found in the body, for which an extensive list of differentials exists [1] . Importantly, in the absence of skin involvement, 95% of soft tissue hand tumours are benign [2] .…”

Section: Introductionmentioning

confidence: 99%

Benign Schwannoma of the Thumb; a diagnostic challenge

Refalo

Mallina

2022

Radiology Case Reports

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“…El Doppler puede mostrar una vascularización interna prominente, que es un hallazgo importante. 20 En nuestra revisión de los registros médicos, fue notable que 4 de las recurrencias mostraron compromiso óseo en la radiografía simple (►Fig. 4).…”

Section: Discussionunclassified

Epidemiological Analysis of Glomus Tumors of the Hand and Association with Recurrence Rate

Guedes

Jácome

Alves

et al. 2022

Revista Iberoamericana de Cirugía de la Mano

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Introduction Glomus tumors are benign, characterized by microvascular alteration, and mostly found in the subungual region of the hand. They are rare and associated with paroxysmal pain, tenderness on palpation, and thermal sensitivity. The aim of the present research was to analyze the epidemiology of glomus tumors and relate each of the variables with cases of recurrence. Materials and Methods A retrospective review of medical records was undertaken in our hospital to collect epidemiological numerical variables (time between the onset of symptoms and diagnosis and surgery, age, size of the tumor on magnetic resonance imaging and the histopathological examination, time until recurrence and reoperation after surgery, duration of the follow-up) and categorical variables (gender, ethnicity, laterality, affected finger, location in the hand, surgical technique, smoking, preoperative symptoms, recurrence, and comorbidities). Then, we performed a statistical analysis to identify possible associations of the hand tumors with recurrences. Results The review identified 66 patients with glomus tumors 52 of which were located in the hand. The mean age of the sample was 49 years, and it was mostly composed of white female patients. Pain was the main related symptom, and most tumors presented sizes between 5 mm and 1 cm. Among the 52 patients, 11 cases presented recurrences, with a mean time until onset of 39.4 months, but 3 of them were initially operated on at other hospitals. None of the variables was shown to be a predictor of recurrence, although we saw that bone involvement on radiographs was only present in certain cases of recurrence. Conclusion The sample studied was large for this rare disease, and reinforced previous results regarding its epidemiology. As 54% of the cases of recurrence occurred at least twice, we think that genetic, histological and immunohistochemical analyses should be the focus of futures studies, as well as a search for bone and tendon involvement.

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“…MRI is often used to characterize soft-tissue tumors. MRI can also help the radiologist understand tumor histopathology [24].…”

Section: Discussionmentioning

confidence: 99%

A case with Behçet’s disease involving erosive Metacarpophalangeal joint arthritis: the value of ultrasonography in the diagnosis of an Erosion

Mülkoğlu¹,

Ayhan

2020

BMC Med Imaging

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Background: Behçet's disease (BD) is a chronic multisystemic vasculitis that may emerge with musculoskeletal system involvements, oral-genital recurrent aphthae, mucocutaneous lesions, and ocular symptoms. Arthritis in BD is usually non-erosive and not related to crippling disease. Erosive arthropathy is a very rare manifestation of BD. Case presentation: Herein, we present a 60-year-old male patient suffering from BD for 33 years with erosive arthritis in his second metacarpophalangeal joint. After we assessed his finger by X-ray, we diagnosed erosive arthropathy quickly by musculoskeletal ultrasonography. In addition, a systematic literature search was performed via the PubMed and Scopus databases using the keywords, 'Behçet's disease [AND] erosive/destructive arthritis'. Conclusions: Erosive arthritis due to BD can be evaluated by ultrasonography in an easy, fast and cost-effective manner. The literature search between 1985 and December 2019 revealed a total of 19 patients with peripheral erosive arthropathy related to BD and the characteristics of the results are summarized in the paper.

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Common Soft Tissue Tumors Involving the Hand with Histopathological Correlation

Cited by 20 publications

References 40 publications

Benign Schwannoma of the Thumb; a diagnostic challenge

Benign Schwannoma of the Thumb; a diagnostic challenge

Epidemiological Analysis of Glomus Tumors of the Hand and Association with Recurrence Rate

A case with Behçet’s disease involving erosive Metacarpophalangeal joint arthritis: the value of ultrasonography in the diagnosis of an Erosion

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