Leiomyoma of the hand: A case report and review of the literature

Boyd, Roderick; Bhatt, Bharat Bhushan; Mandell, Gerald A.; Saxe, Andrew

doi:10.1016/s0363-5023(05)80052-8

Cited by 10 publications

(18 citation statements)

References 7 publications

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“…When present in the hand, leiomyoma is often described as a well-circumscribed, firm mass measuring less than 2 cm [1,7]. Initially, the mass may be painless; however, patients often develop progressive pain, perhaps from compression of surrounding nerves [12,15].…”

Section: Discussionmentioning

confidence: 99%

Leiomyoma of the Hand

Kulkarni¹,

Haase²,

Chung³

2008

Hand (New York, N,Y.)

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Section: Discussionmentioning

confidence: 99%

Leiomyoma of the Hand

Kulkarni¹,

Haase²,

Chung³

2008

Hand (New York, N,Y.)

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“…The uterus is considered the most common location for leiomyoma [1,7,10]; when it occurs in the extremities, it is more common in the leg, ankle and foot [1,8,10] than it is in the upper extremity [1,4,8]. It is very rare in the hand, presumably because of the paucity of smooth muscle in the hand and arises from the non-striated muscles of the upper extremity (erector pili, the sweat glands, and vascular walls) and then in this location it appears to be associated with vascular structures [2,4,5,8].…”

Section: Discussionmentioning

confidence: 99%

“…The tumor generally is quite small, most being less than 1 cm in greatest dimension [1][2][3]. Although vascular leiomyoma is known to be a painful nodule, the most characteristic subjective symptom of a leyomioma is tenderness that progresses to pain, spontaneous or paroxysmic but is exceptional in the hand.…”

Section: Discussionmentioning

confidence: 99%

“…On the cut surface it has a fasciculated or whorled, grayish-white glistening appearance [3,5,9]. Clinical examination may encompass an extensive differential diagnosis including fibroma, ganglion, lipoma, foreign body granuloma, giant cell tumor of the tendon sheath, glomus tumor, hemangioma, neurofibroma, neurilemmoma, spindle cell sarcoma, and nodular melanoma [1,4]. The tumor is rarely diagnosed before surgery, because only the histological examination will confirm the diagnosis [1,3].…”

Section: Discussionmentioning

confidence: 99%

“…Treatment of a leiomyoma of the hand is surgical. The usual treatment is simple excision of the mass and ligation of feeding vessels [1][2][3][4][5][6]8,10]. The operation is usually simple and effective, but the tumor occasionally lies in close proximity to a nerve and vessel, especially when located on the volar surface of the hand.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Leiomyoma of the hand: a case report

Maresca

Gagliano²,

Marcuzzi³

2005

Chirurgie de la Main

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Tc-99m RBC perfusion and blood-pool scintigraphy in the evaluation of vascular leiomyoma of the hand

2002

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A 62-year-old man with a soft, non-tender, movable mass 2.5 x 2.5-cm in diameter in the volar surface of the right index finger over the proximal phalanx underwent Tc-99m RBC perfusion and blood-pool scintigraphy to evaluate the vascular nature and extent of the mass. Highly increased activity on early and delayed blood-pool images with increased perfusion was demonstrated in the mass. The lesion with high flow rates and large blood pool spaces was considered highly suggestive of one of the various types of peripheral hemangioma. Angiography revealed a vascular neoplasm with tumor vessels. Microscopic examination of the resected tumor revealed vascular leiomyoma containing numerous dilated vascular channels. These scintigraphic abnormalities were regarded as resulting from hypervascularity demonstrated angiographically and blood pooling within the dilated vascular channels demonstrated histologically. It is concluded that Tc-99m RBC perfusion and blood pool scintigraphy may be an important non-invasive approach to demonstrate vascular leiomyoma prior to surgical biopsy or resection.

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Leiomyoma of the hand: A case report and review of the literature

Cited by 10 publications

References 7 publications

Leiomyoma of the Hand

Leiomyoma of the Hand

Leiomyoma of the hand: a case report

Tc-99m RBC perfusion and blood-pool scintigraphy in the evaluation of vascular leiomyoma of the hand

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