Use of Ultra-high-frequency Ultrasound on Diagnosis and Management of Lipofibromatous Hamartoma: A Technical Report

Boczar, Daniel; Forte, Antonio J.; Serrano, L.; Trigg, S.D.; Clendenen, Steven R.

doi:10.7759/cureus.5808

Cited by 8 publications

(12 citation statements)

References 19 publications

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Section: Discussionmentioning

confidence: 99%

“…The use of either ultrasound or magnetic resonance image (MRI) is used to diagnose LFH without the need of biopsy [ 9 ]. The ultrasound at affected area usually appears with an enlarged, thick fascicle in a fusiform shape surrounded by echogenic fatty tissue [ 9 ]. By contrast, MRI tends to illustrate an enlarged nerve with thick axonal bundles surrounded by an epineural fibrous tissue [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…The ultrasound at affected area usually appears with an enlarged, thick fascicle in a fusiform shape surrounded by echogenic fatty tissue [ 9 ]. By contrast, MRI tends to illustrate an enlarged nerve with thick axonal bundles surrounded by an epineural fibrous tissue [ 9 ]. Even though radiographs cannot give an imaging diagnosis for LFH, they are recommended in patients with macrodactyly to evaluate hypertrophic bone changes and possible expansion of soft tissue [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

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Lipofibromatous Hamartoma in a Hispanic Patient with macrodactyly: a rare peripheral nerve tumor causing recurrent carpal tunnel syndrome

Pinci

Olivella

Rodrı́guez

et al. 2020

Journal of Surgical Case Reports

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This is a rare case of a 42-year-old Hispanic male with macrodactyly who presented with recurrent carpal tunnel syndrome (CTS) due to Lipofibromatous Hamartoma (LFH). A slowly growing mass in his right palm with pain and numbness, along with motor and sensory deficits in the median nerve distribution, was reported since the past year prior to visit. Previous open carpal tunnel release was performed at 16 years of age due to CTS without complications. The diagnosis of LFH was made based on ultrasound, electromyography test and physical examination. An extended open carpal tunnel release with transection of transverse ligament was performed. The 24-month postoperative evaluation showed complete resolution of symptoms. This report illustrates the management of a recurrent CTS due to LFH in a Hispanic adult patient with macrodactyly that was successfully treated with a carpal tunnel decompression.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Lipofibromatous Hamartoma in a Hispanic Patient with macrodactyly: a rare peripheral nerve tumor causing recurrent carpal tunnel syndrome

Pinci

Olivella

Rodrı́guez

et al. 2020

Journal of Surgical Case Reports

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“…Tognetti et al 25 described the UHFUS aspect of cutaneous endometriosis lesions occurring at the level of the caesarean scar, an often underdiagnosed disease. Boczar et al 26 described a case of lipofibromatous hamartoma of the wrist associated with progressive sensory disturbance. Oranges et al 27 reported a case of postradiation cutaneous angiosarcoma in an 80-year-old woman with a history of chemotherapy and radiotherapy for a vulvar carcinoma, in which UHFUS allowed to early detect signs of neoplastic infiltration.…”

Section: Dermatological Applicationsmentioning

confidence: 99%

“…At present, UHFUS is employed for dermatological, vascular, musculoskeletal, intraoral, and small parts applications. 10 -75 The aim of the present research is to provide a review of current clinical literature on the potential applications of UHFUS in order to discuss its role in diverse clinical settings.…”

Section: Introductionmentioning

confidence: 99%

Ultra-High Frequency Ultrasound, A Promising Diagnostic Technique: Review of the Literature and Single-Center Experience

et al. 2020

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Objectives: Ultra-high frequency ultrasonography (UHFUS) is a recently introduced diagnostic technique which finds several applications in diverse clinical fields. The range of frequencies between 30 and 100 MHz allows for high spatial resolution imaging of superficial structures, making this technique suitable for the imaging of skin, blood vessels, musculoskeletal anatomy, oral mucosa, and small parts. However, the current clinical applications of UHFUS have never been analyzed in a consistent multidisciplinary manner. The aim of this study is to revise and discuss the current applications of UHFUS in different aspects of research and clinical practice, as well as to provide some examples of the current work-in-progress carried out in our center. Materials and Methods: A literature search was performed in order to retrieve articles reporting the applications of UHFUS both in research and in clinical settings. Inclusion criteria were the use of frequencies above 30 MHz and study design conducted in vivo on human subjects. Results: In total 66 articles were retrieved. The majority of the articles focused on dermatological and vascular applications, although musculoskeletal and intraoral applications are emerging fields of use. We also describe our experience in the use of UHFUS as a valuable diagnostic support in the fields of dermatology, rheumatology, oral medicine, and musculoskeletal anatomy. Conclusion: Ultra-high frequency ultrasonography application involves an increasing number of medical fields. The high spatial resolution and the superb image quality achievable allow to foresee a wider use of this novel technique, which has the potential to bring innovation in diagnostic imaging.

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Clinical application of ultra‐high frequency ultrasound: Discovering a new imaging frontier

Fogante

Carboni

Argalia

2022

J of Clinical Ultrasound

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The ultra‐high frequency ultrasound (UHFUS) is characterized by the use of probes between 30 and 100 MHz. This technology has recently been introduced in clinical practice and represents an opportunity for the diagnosis of numerous pathologies. The high spatial resolution of UHFUS, up to 30 μ in pixel size, allows to study the pathological modifications and to guide microsurgery treatments in anatomical body structures not evaluable by conventional HFUS. The aim of this work is to provide a review of the literature on the current clinical applications of UHFUS and to discuss its added role in different clinical settings.

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Use of Ultra-high-frequency Ultrasound on Diagnosis and Management of Lipofibromatous Hamartoma: A Technical Report

Cited by 8 publications

References 19 publications

Lipofibromatous Hamartoma in a Hispanic Patient with macrodactyly: a rare peripheral nerve tumor causing recurrent carpal tunnel syndrome

Lipofibromatous Hamartoma in a Hispanic Patient with macrodactyly: a rare peripheral nerve tumor causing recurrent carpal tunnel syndrome

Ultra-High Frequency Ultrasound, A Promising Diagnostic Technique: Review of the Literature and Single-Center Experience

Clinical application of ultra‐high frequency ultrasound: Discovering a new imaging frontier

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