Hand Masses

Teh, James; Shahabpour, Maryam; Drapé, Jean‐Luc; Feydy, A.; Sudoł‐Szopińska, Iwona; Vanhoenacker, Filip

doi:10.1055/s-0041-1724017

Cited by 2 publications

(7 citation statements)

References 75 publications

(112 reference statements)

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“…MRI findings suggestive of malignancy include poorly defined margins, neurovascular invasion, peritumoral edema, inhomogeneous signals, and intense heterogeneous enhancement. [1,6]…”

Section: Discussionmentioning

confidence: 99%

“…Most tumors are benign, and malignant tumors in this location are rare. [1][2][3][4] However, the incidence of soft tissue pseudotumors in the hands and wrists is underestimated. [2] There have been several reports of pseudotumoral soft tissue lesions of the hand and wrist.…”

Section: Introductionmentioning

confidence: 99%

“…Most tumors are benign, and malignant tumors in this location are rare. [1–4] However, the incidence of soft tissue pseudotumors in the hands and wrists is underestimated. [2]…”

Section: Introductionmentioning

confidence: 99%

“…MRI findings indicative of malignancy include large size (>5 cm), deep location, peritumoral edema, skin thickening, lobulation, fascial edema, hemorrhage, and necrosis. [1,3,4] However, malignant tumors of the hand and wrist can also be small and superficial, and some sarcomas present as well-defined masses without peritumoral edema. [6] Conversely, infection or inflammation can present as masses with ill-defined contours or perilesional or fascial edema.…”

Section: Introductionmentioning

confidence: 99%

“…[2] There have been several reports of pseudotumoral soft tissue lesions of the hand and wrist. [1][2][3][4][5][6][7][8] However, no cases of hand or wrist pseudotumors mimicking malignancy have been reported in the literature.…”

Section: Introductionmentioning

confidence: 99%

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Soft tissue pseudotumors of the hand and wrist mimicking malignancy: Two case reports

2023

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Rationale: Most soft-tissue lesions in the hand and wrist have a benign etiology, and malignant tumors, such as soft-tissue sarcomas, are rare. Mimickers of soft tissue tumors in the hand and wrist are more common than true neoplastic lesions; however, soft tissue pseudotumors that mimic malignancy are very rare. Patient concerns: This study describes 2 patients with soft tissue pseudotumors of the hand and wrist. Both patients presented with rapidly growing soft-tissue masses. Magnetic resonance imaging (MRI) revealed ill-defined margins and an aggressive appearance in both cases, leading to a strong suspicion of malignant soft tissue tumors. Diagnosis: Both patients underwent incisional biopsies, and the final diagnoses were inflammation due to IgG4-related disease in the first case and chronic granulomatous inflammation in the second case. Interventions: The first patient was administered oral steroids, while the second patient was treated with anti-inflammatory drugs. Outcomes: Both patients showed a reduction in swelling of the hand and wrist. Lessons: Although the imaging approach for pseudotumorous lesions is similar to that for true soft tissue tumors, the management of these lesions is different. Biopsies should only be performed when the diagnosis is unclear.

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“…MRI findings suggestive of malignancy include poorly defined margins, neurovascular invasion, peritumoral edema, inhomogeneous signals, and intense heterogeneous enhancement. [1,6]…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Most tumors are benign, and malignant tumors in this location are rare. [1–4] However, the incidence of soft tissue pseudotumors in the hands and wrists is underestimated. [2]…”

Section: Introductionmentioning

confidence: 99%