Angioleiomyoma of the hand with nerve compression

Jin, Qianjun; Lü, Hui

doi:10.1177/0300060520928683

Cited by 7 publications

(7 citation statements)

References 30 publications

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“…Gupte et al demonstrated that when a linear or branching pattern is seen on T2 weighted and short tau inversion recovery (STIR) sequencing, an angiomyoma should be included in the differential. [22] As stated above, angiomyomas should be considered when soft tissues masses are observed within the upper extremities, and in particular the hands [23][24]. Interestingly, angiomyomas, when found to occur in the hand, are not commonly painful, which could give insight into the pathology and diagnosis [25].…”

Section: Discussionmentioning

confidence: 98%

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Lateral Femoral Cutaneous Nerve Angiomyoma

Mugge¹,

Dang²,

Chandela³

2021

Cureus

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Angiomyomas are benign tumors derived from smooth muscle cells of vessels. They are principally a pathology of the peripheral nervous system where they involve cutaneous nerves, causing pain and paresthesia. We present a case of a lateral femoral cutaneous nerve angiomyoma and its surgical treatment. A 24-year-old female presented to clinic with right thigh pain in the distribution of the lateral femoral cutaneous nerve, which had been ongoing and progressive for seven months. There was associated numbness and tingling. A lesion was noted in the anterior subcutaneous tissues of the thigh on contrasted CT and MRI. The patient was taken to the operating room where a pearly white lesion was found within the subcutaneous tissue. No effect was seen with stimulation of the lesion. The lesion was removed en bloc, and pathological analysis revealed an angiomyoma. Post-operatively, the patient reported complete resolution of all symptoms, namely, pain and paresthesia. No similar reports were identified within the literature. Together, angiomyomas have been described within the lower extremities to cause pain and paresthesia. This is the first reported case of an angiomyoma involvement within the lateral femoral cutaneous nerve. Complete surgical resection, in this case, was curative and diagnostic.

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Section: Discussionmentioning

confidence: 98%

“…As stated above, angiomyomas should be considered when soft tissues masses are observed within the upper extremities, and in particular the hands [ 23 - 24 ]. Interestingly, angiomyomas, when found to occur in the hand, are not commonly painful, which could give insight into the pathology and diagnosis [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Lateral Femoral Cutaneous Nerve Angiomyoma

Mugge¹,

Dang²,

Chandela³

2021

Cureus

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“…Although they often appear as isolated, painless, slow-growing masses, the abundant nerve peripheral occupation region and variable size of the masses can sometimes present with physical symptoms such as nerve deficits or pain. Complete surgical resection is often considered sequelae-free, but in some research, a poor prognosis of neurological deficits has been reported (4)(5)(6)(7).…”

Section: Methodsmentioning

confidence: 99%

Clinical characteristics and management experience of schwannoma in extremities: Lessons learned from a 10-year retrospective study

et al. 2022

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IntroductionSchwannomas are the most common neoplastic lesions of the peripheral nerves when growing on the extremities, they usually have adverse effects on patients due to the exposed and functional nature of the region.MethodsIn the present single-center retrospective study, we included all patients with pathologically confirmed schwannoma located in extremities between 2011 and 2021 totaling 183 patients. Data on gender, age, duration history, clinical presentation, occurrence region, nerve affiliation, imaging data, modus operation, mass volume, immunohistochemistry, postoperative neurological function, and recurrence were collected.ResultsAs in previous studies, patients were predominantly middle-aged with a mean age of 49.5, without gender preference and a male-to-female ratio of 1.2:1. Most patients are first seen for this disease, and only five of them are recurrent. The majority presented with an isolated (91.26%), asymptomatic (37.7%) mass, with tenderness (34.97%) being the second frequent complaint. 60% of lesions occurred in the upper extremity, more commonly on the left side (55.26%) than the right. The average duration of onset was 47.50 months. MRI is more sensitive for neurogenic tumors than ultrasound, as it owns 78.93% correct. In immunohistochemistry, the top three markers for positive labeling schwannoma are S-100 (98.95%), Ki67 (98.68%) and β-Catenin. 98.36% of patients underwent complete resection of the lesion, of which 14.44% required partial sacrifice of the nerve fibers. Thanks to the application of intraoperative peripheral nerve microscopic operation, only 6 patients showed symptoms of postoperative nerve injury, and 3 of them received second surgery. Intraoperative microscopic manipulation, preservation of the main nerve, and the need for reconstruction of the affected nerve fibers are some of the points worth noting.DiscussionIn summary, the possibility of schwannoma should not be overlooked in the identification of masses that occur in the upper extremities of the middle-aged population. Preoperative ultrasound and MR are useful for determining the nature of the mass, and S100, Ki67, and β-Catenin are sensitive to it. Surgical resection can achieve satisfying functional results and a low risk of nerve injury.

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“…These tumors arise from vascular smooth muscle, and are typically well circumscribed, usually round or oval in shape [2] . Histologically, angioleiomyomas may present with spindle-shaped smooth cell bundles lacking nuclear atypia arranged in fascicles, arising from the tunica media of a vein or artery [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%