Nerve tumors of the hand and forearm

Strickland, James W.; Steichen, James B.

doi:10.1016/s0363-5023(77)80128-7

Cited by 118 publications

(56 citation statements)

References 22 publications

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“…Peripheral nerve tumors comprise less than 5% of all tumors of the hand [6] Intraneural hemangioma is a rare lesion, especially in a peripheral nerve. Sato is the first to report on the peripheral nerve hemangiomas [7].…”

Section: Discussionmentioning

confidence: 99%

The Intraneural Hemangioma of the Digital Nerve: Case Report

Düzgün¹,

Özdemir²,

Ünlü³

et al. 2016

J Hand Microsurg

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Intraneural Hemangioma of the digital nerve is rare and so far three cases have been reported in the literature. We present a case of 12-year-old boy with painless soft tissue mass in the right hand and numbness on the radial aspect of the index finger. Magnetic Resonance Imaging showed an isointense subcutaneous lesion without discrete borders in the first web space classically of hemangioma with the radial digital nerve extension. On exploration, the intraneural extension of the hemangioma was confirmed and total resection, microsurgical primary digital nerve repair was done. The patient became better and at 6 months follow up the index finger sensation improved. The patient had no reccurence and he is still under follow up.

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Section: Discussionmentioning

confidence: 99%

The Intraneural Hemangioma of the Digital Nerve: Case Report

Düzgün¹,

Özdemir²,

Ünlü³

et al. 2016

J Hand Microsurg

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“…Schwannoma, glomus tumor and angioleiomyoma, intraneural benign tumors (eg, intraneural lipoma, lipofibromatous hamartoma, and ganglion cysts), intraneural malignant tumors (eg, synovial sarcoma), and posttraumatic hematoma may be included in the list of differential diagnosis of intraneural hemangioma [3,16,23,34,36,41]. Schwannoma is an encapsulated nerve sheath tumor consisting of two components: a highly ordered cellular component (Antoni A area) and a loose myxoid component (Antoni B area).…”

Section: Discussionmentioning

confidence: 99%

“…Intraneural hemangioma of peripheral nerves is rare [23,34]. It is a benign lesion of mesodermic origin and of the melanoblastic type, arising from the proliferation of various types of blood vessels [2,16,30].…”

Section: Discussionmentioning

confidence: 99%

“…Intraneural hemangioma can arise within the nerve, in its sleeve, or around it; apparently, the tumor arises from the vasa nervorum. Involved nerves have included the trigeminal, ulnar, median, digital, posterior tibial, and peroneal nerves [16,18,24,34,41]. Solitary intraneural hemangiomas within the sheaths of a lumbar spinal nerve root [22] and a nerve root of the cauda equina have also been reported [25].…”

Section: Discussionmentioning

confidence: 99%

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A 56-year-old Woman with a Right Arm Mass

Papagelopoulos¹,

Mavrogenis²,

Skarpidi

et al. 2008

Clinical Orthopaedics &Amp; Related Research

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A 56-year-old woman was admitted for a 5-year history of a painless right arm mass. The patient denied any recent enlargement. However, over the previous 2 years, the patient complained of gradually increasing numbness at the thumb, index finger, and middle finger of the ipsilateral arm. There was no history of trauma. Medical and family history was unremarkable.Physical examination revealed a soft, oval, deep palpable mass on the medial side of her right arm with a maximum diameter of 4 cm (Fig. 1). Passive and active range of motion of the right elbow and hand were unaffected. Neurologic examination was normal. Routine laboratory analysis including complete blood cell count, serum chemistries, erythrocyte sedimentation rate, and C-reactive protein were within normal limits.We performed plain radiography ( Fig. 2), ultrasonography (Fig. 3), and MRI (Fig. 4).Based on the history, physical examination, laboratory tests, and imaging studies, what is the differential diagnosis? Imaging InterpretationA frontal radiograph of the right upper arm showed a cluster of rounded calcifications in the soft tissues along the medial aspect of the mid humerus. No underlying osseous abnormality was noted (Fig. 2).Ultrasonography of the right arm showed a well-defined oval mass with heterogeneous internal echogenicity. The mass was closely related to the median nerve. Doppler examination revealed a moderate degree of vascularity within the lesion (Fig. 3).MRI showed a fusiform lesion with well-circumscribed borders along the posteromedial aspect of the biceps. The lesion was intermuscular and centered along the expected course of the median nerve. The normal median nerve could not be identified as a distinct structure at this level. The lesion was heterogeneous and slightly hypointense to muscle on T1-weighted images (Fig. 4A-B) and heterogeneously hyperintense on T2-weighted images. On postcontrast T1-weighted images (Fig. 4C-D), the mass enhanced in fairly uniform fashion. Differential Diagnosis Hemangioma SchwannomaEach author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article. Each author certifies that his or her institution has approved the reporting of this case and that all investigations were conducted in conformity with ethical principles of research.

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“…The most common nerve involved in the upper extremity is the ulnar nerve while passing through the cubital tunnel [1]. English literature has produced previous case reports of intraneural ganglion involvement with the common peroneal nerve and its branches, the sural nerve, and the posterior tibial nerve but extraneural ganglion sciatic and common peroneal nerve palsy cases are seldom documented [2].…”

Section: Introductionmentioning

confidence: 99%

Common Peroneal Nerve Palsy Secondary to a Proximal Tibiofibular Joint “Ganglion Cyst”—A Case Report and Review of Literature

Kukreja¹,

Telang²

2015

OJO

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Although ganglion cysts occur frequently, their presence in the lower extremities is rare and they seldom cause peripheral nerve compression. There are enumerable case reports of intraneural ganglion involvement with the common peroneal nerve and its branches, the sural nerve, and the posterior tibial nerve but extraneural ganglion sciatic and common peroneal nerve palsy cases are quite rare. Our case, a 26 years old female patient presented with right leg tingling and radiating pain followed up gradually with progressive right sided foot drop. MRI diagnosed the lesion as a ganglion cyst and the EMG/NCV confirmed the level of compression at the right fibular head. The patient was electively operated with standard lateral approach and the ganglion cyst engulfing the common peroneal nerve was excised. The cyst was traced to the base of its articular origin, excised and stalk ligated to prevent recurrence. At 1 year, there were no signs of recurrence and the patient was symptomatically free with no residual weakness. We, thus, report to you a rare cause of common peroneal nerve palsy-a proximal tibio-fibular joint "ganglion cyst"; a cause of foot drop which can be completely reversible if treated appropriately, its implications and thus, making its early diagnosis significant.

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Nerve tumors of the hand and forearm

Cited by 118 publications

References 22 publications

The Intraneural Hemangioma of the Digital Nerve: Case Report

The Intraneural Hemangioma of the Digital Nerve: Case Report

A 56-year-old Woman with a Right Arm Mass

Common Peroneal Nerve Palsy Secondary to a Proximal Tibiofibular Joint “Ganglion Cyst”—A Case Report and Review of Literature

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