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Angioleiomyoma of the hand with nerve compression
OBJECTIVE: This study was performed to analyze the clinical, radiographic, and pathological features of hand angioleiomyoma causing nerve compression and assess the outcomes of surgical excision. METHODS: This case series included three men and one woman (mean age, 53.3 years; range, 49–56 years). T...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7309381/ https://www.ncbi.nlm.nih.gov/pubmed/32567422 http://dx.doi.org/10.1177/0300060520928683 |
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author | Jin, Qianjun Lu, Hui |
author_facet | Jin, Qianjun Lu, Hui |
author_sort | Jin, Qianjun |
collection | PubMed |
description | OBJECTIVE: This study was performed to analyze the clinical, radiographic, and pathological features of hand angioleiomyoma causing nerve compression and assess the outcomes of surgical excision. METHODS: This case series included three men and one woman (mean age, 53.3 years; range, 49–56 years). The patients’ chief complaint was numbness of the fingers. The patients’ medical histories were reviewed, and the diagnosis of angioleiomyoma with nerve compression was confirmed by means of imaging examination and pathological analysis. RESULTS: Three tumors occurred in the palm and one in the finger, and the average maximum tumor diameter was 1.8 cm (range, 0.8–2.6 cm). Preoperative magnetic resonance imaging demonstrated well-defined masses with isointense signals on T1 sequences, hyperintense signals on T2 sequences, and strong heterogeneous enhancement after injection of contrast material. All tumors were located near nerves, leading to nerve compression. The diagnosis of angioleiomyoma was confirmed by postoperative pathology. Finger sensation recovered and no recurrence was found during an average follow-up of 37 months (range, 25–59 months). CONCLUSIONS: Angioleiomyoma should be considered among the differential diagnoses of hand tumors and timely resection should be performed, particularly if the mass is causing numbness and/or pain with positive Tinel’s sign and/or tenderness. |
format | Online Article Text |
id | pubmed-7309381 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-73093812020-06-30 Angioleiomyoma of the hand with nerve compression Jin, Qianjun Lu, Hui J Int Med Res Case Series OBJECTIVE: This study was performed to analyze the clinical, radiographic, and pathological features of hand angioleiomyoma causing nerve compression and assess the outcomes of surgical excision. METHODS: This case series included three men and one woman (mean age, 53.3 years; range, 49–56 years). The patients’ chief complaint was numbness of the fingers. The patients’ medical histories were reviewed, and the diagnosis of angioleiomyoma with nerve compression was confirmed by means of imaging examination and pathological analysis. RESULTS: Three tumors occurred in the palm and one in the finger, and the average maximum tumor diameter was 1.8 cm (range, 0.8–2.6 cm). Preoperative magnetic resonance imaging demonstrated well-defined masses with isointense signals on T1 sequences, hyperintense signals on T2 sequences, and strong heterogeneous enhancement after injection of contrast material. All tumors were located near nerves, leading to nerve compression. The diagnosis of angioleiomyoma was confirmed by postoperative pathology. Finger sensation recovered and no recurrence was found during an average follow-up of 37 months (range, 25–59 months). CONCLUSIONS: Angioleiomyoma should be considered among the differential diagnoses of hand tumors and timely resection should be performed, particularly if the mass is causing numbness and/or pain with positive Tinel’s sign and/or tenderness. SAGE Publications 2020-06-22 /pmc/articles/PMC7309381/ /pubmed/32567422 http://dx.doi.org/10.1177/0300060520928683 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Case Series Jin, Qianjun Lu, Hui Angioleiomyoma of the hand with nerve compression |
title | Angioleiomyoma of the hand with nerve compression |
title_full | Angioleiomyoma of the hand with nerve compression |
title_fullStr | Angioleiomyoma of the hand with nerve compression |
title_full_unstemmed | Angioleiomyoma of the hand with nerve compression |
title_short | Angioleiomyoma of the hand with nerve compression |
title_sort | angioleiomyoma of the hand with nerve compression |
topic | Case Series |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7309381/ https://www.ncbi.nlm.nih.gov/pubmed/32567422 http://dx.doi.org/10.1177/0300060520928683 |
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