Giant Size Foreign Body Reaction at the First Web Space in the Hand: A Case Report

Çirçi, Esra; Barış, Alican

doi:10.4274/imj.galenos.2020.82085

Cited by 1 publication

(1 citation statement)

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“…The differential diagnosis of a first dorsal web space mass may be extensive and our cases may be unrepresentative of the true occurrence of each of these lesions. We did a literature review and found that there are case reports describing one or two cases of first dorsal web space masses, which makes our case series the largest on this subject to our knowledge [7][8][9][10][11].…”

Section: Discussionmentioning

confidence: 92%

Soft Tissue Benign Hand Masses in the First Web Space: A Retrospective Case Series

Saleh¹,

Carvalho²,

Hasan³

et al. 2023

Cureus

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Introduction: Hand masses are fairly common. While most of these masses are either ganglion cysts or benign tumors, masses in the first web space are not rare, and they may in fact represent a variety of lesions. These include both benign and malignant tumors, metastases, or congenital and anomalous structures, and may involve nerves, vascular structures, connective tissue, and joints. Methods: In this retrospective case series, data on 12 cases of first dorsal web space hand mass treated at our center over a period of five years were collected and analyzed.Results: Twelve consecutive patients presenting with a first dorsal web space hand mass over a period of five years were reviewed. This represented a group of nine females and three males, with a mean age of 53 years (range = 16-70 years). Seven patients had a mass on the right side and five on the left side. The surgical approach to resect the mass in all 12 patients was dorsal. The most common diagnosis was ganglion cyst (50%), followed by lipoma (25%) and aneurysm (16.6%). There was one case of eccrine spiradenoma.Conclusion: First dorsal web space hand masses can encompass multiple different pathologies, and the first web space has an intricate anatomy. Both of these factors mandate a careful approach that includes meticulous preoperative planning with appropriate advanced imaging studies, which helps to make the surgical procedure more efficient and accurate.

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