Soft-Tissue Tumors of the Hand—Imaging Features

Stacy, Gregory Scott; Bonham, Jeffrey; Chang, Anthony; Thomas, Stephen

doi:10.1177/0846537119888356

Cited by 29 publications

(27 citation statements)

References 53 publications

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“…Only a handful of case reports and case series have been published demonstrating nerve compression of the upper extremity due to a giant lipoma [ 9–12 ]. Our case, to our knowledge, is the one of the largest reported giant lipomas of the hand, and the first reported to demonstrate invasion into multiple compartments from the central palm, including the thenar space, dorsum and carpal tunnel resulting in median nerve compression.…”

Section: Discussionmentioning

confidence: 99%

Management of a rare, giant multicompartmental lipoma of the hand: a case report and review of the literature

Shah

Rahman

Pywell

et al. 2022

Journal of Surgical Case Reports

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Lipomas are the commonest benign tumour, made up exclusively of adipose tissue, and can arise anywhere in the body. However, giant lipomas of the hand, defined as >5 cm in diameter, are rare. They have the potential to invade into surrounding areas and cause a multitude of symptoms due to the compression and proximity of underlying structures. We describe a case of a 64-year-old woman who presents with a swelling of the left thenar eminence, associated with numbness and tingling in all fingers. Magnetic resonance imaging and nerve conduction studies confirmed the diagnosis of a lipoma causing median nerve compression. The patient underwent elective surgical excision with good postoperative recovery. The excised lesion, measuring 12 × 7 × 2.4 cm, is one of the largest giant lipomas of the hand reported in literature, and the first to demonstrate invasion from the mid palmar space into both the dorsal sub-aponeurotic space and carpal tunnel.

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Section: Discussionmentioning

confidence: 99%

Management of a rare, giant multicompartmental lipoma of the hand: a case report and review of the literature

Shah

Rahman

Pywell

et al. 2022

Journal of Surgical Case Reports

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“…A variety of common and uncommon soft tissue tumors often have overlapping imaging characteristics, the appropriate diagnosis of which can be a source of confusion for both clinicians and radiologists [ 9 ]. On MRI, glomangiomas typically show high-signal intensity on T2-weighted images and avid enhancement following IV gadolinium administration [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

An Unusual Presentation of Large Glomangioma of the Hand

Alhujayri¹,

Alshehri²,

Alghweinem³

et al. 2021

Cureus

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Glomangiomas are rare and benign hamartomas that commonly occur in the upper extremities. It is not typical for benign glomangiomas to be larger than one centimeter in size, and they usually present as a faint, blue-red subungual papule associated with a triad of symptoms of paroxysmal pain, pain with cold exposure, and tenderness to touch.We herein report a case of a 72-year-old man with multiple comorbidities presented to our clinic as a case of right-hand middle finger swelling for the past five years. Initially, it was not painful. However, the pain became more noticeable when he lowers his hand, and it was relieved when he kept it elevated. There were no skin changes around it with minimal tenderness over the swelling. Hand MRI demonstrated a welldefined small lobulated nodule at the radial aspect of the middle finger, at the level of the middle phalanx with no invasion to an adjacent structure. Surgical excision was done and the patient was diagnosed by histopathology to have glomangioma.Glomangiomas, also known as glomus tumors, are rare and benign hamartomas that commonly occur in the upper extremities. The hand is the most common site for glomus tumors, particularly the subungual area, the lateral aspect of the digits, and the palms. Female patients are the most common to present with subungual glomangioma. Multiple papers reported different presentations, and due to the rarity of the conditions and overlapping in clinical and imaging characteristics with other conditions, it was challenging to diagnose. Such atypical cases must be approached with high clinical suspicion and proper imaging and investigations so as to not delay diagnosis and management.

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“…In general, ultrasonography (US) is a useful diagnostic method to differentiate between a benign and a malignant lesion [ 5 ]. However, due to the low accuracy of US, current studies employ a combination of US and MRI, which provides accurate information for both intraneural and extraneural lesions [ 12 ]. Currently, MRI is the gold standard for preoperative assessment [ 7 , 11 ].…”

Section: Discussionmentioning

confidence: 99%

Giant Neurofibroma of the Left Median Nerve Associated With Damage of the Ipsilateral Distal Radius

Kougioumtzis¹,

Barmpitsioti²,

Tottas³

et al. 2021

Cureus

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A 74-year-old Caucasian woman presented with a large mass on her left distal radius, which had previously caused a fracture of the bone at this site and the palmar site that was treated with external fixation a year ago. The patient did not mention tumor-related family history and other neoplasms before the fracture of the distal radius. She noticed that the gradually growing mass had appeared after the fracture treatment. A thorough evaluation of the lesion confirmed the diagnosis of a large benign neurofibroma with distal radius impairment. The diagnostic and therapeutic procedure included the complete excision of the tumor and a six-week cast immobilization of the radius. On the final follow-up two years postoperatively, her clinical situation was satisfactory with no signs of recurrence. Although rare, isolated benign neurofibromas of enormous sizes are associated with bone damage. In our view, immediate surgical excision is crucial and enables total recovery postoperatively.

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Soft-Tissue Tumors of the Hand—Imaging Features

Cited by 29 publications

References 53 publications

Management of a rare, giant multicompartmental lipoma of the hand: a case report and review of the literature

Management of a rare, giant multicompartmental lipoma of the hand: a case report and review of the literature

An Unusual Presentation of Large Glomangioma of the Hand

Giant Neurofibroma of the Left Median Nerve Associated With Damage of the Ipsilateral Distal Radius

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