Leiomyoma of the hand: a case report

Leiomyoma of the Hand

“…Our cases were unusual because leiomyomata are not commonly found in the hand, and are particularly uncommon in children. Prior to our report, only three previous cases of leiomyoma of the hand have been reported in children, ages 10, 12, and 14 [14, 18, 20]. The youngest report was in a 10-year-old boy with the human immunodeficiency virus [14].…”

“…The first case of leiomyoma of the hand was published in 1960 by Butler et al [3]. Since that time, 150 cases of leiomyoma of the hand have been reported in the English literature [1, 4, 6, 8, 12, 14, 15, 20]; however, only three of these have been in children [14, 18, 20]. We present three cases of leiomyoma of the hand, including one case in a 10-year-old boy.…”

Unique case of ‘trigger wrist’ secondary to deep tissue leiomyoma in a healthy 6‐year‐old

“…Less than 50 cases have been identified that originate in the deep tissues, 11 of which occurred in children. We report the occurrence of a deep tissue leiomyoma in the upper extremity of a healthy child, one of only three other cases reported in the English literature. Furthermore, this case presented in a previously unreported manner with an acute mechanical inability to extend the wrist, leading to a ‘trigger wrist’.…”

Leiomyoma in the thumb causing trigger finger

“…The identification and characterisation of giant cell tumour of the tendon sheaths can also be carried out by MRI 9 12. Fibroma, osteochondroma, ganglion, lipoma, foreign body granuloma, glomus tumour, haemangioma, neurofibroma, neurilemmoma, spindle cell sarcoma and nodular melanoma, although less common, can also be included in the differential diagnosis 5 6 10. Dupuytren's disease is a fibromatosis that starts with a palpable nodule, usually in the distal palmar crease.…”

“…Its common elective localisation is the uterus, and, rarely, it is found in the limbs. It is more frequent in women than in men, and most often in the fourth to sixth decades of life 6 7. The incidence in the lower extremities is 50–70% and less than 10% in the hand, where pain is associated in most cases 1 4 7.…”