983 Digital Angioleiomyoma: A Rare Tumour Of the Hand
| العنوان: | 983 Digital Angioleiomyoma: A Rare Tumour Of the Hand |
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| المؤلفون: | F Motiwala, S Jivan |
| المصدر: | British Journal of Surgery. 108 |
| بيانات النشر: | Oxford University Press (OUP), 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, business.industry, Angioleiomyoma, medicine, Surgery, Radiology, medicine.disease, business |
| الوصف: | Introduction Angioleiomyoma is an unusual, benign tumour originating from the tunica media of blood vessels. They commonly occur in the face, neck and lower limb. It is rarely found in the hand and is not considered in the differential diagnoses of painful subcutaneous hand tumours. Case Report We present a case of a 40-year-old man with a several month history of a slow growing lump on his right middle finger. He complained of pain and difficulty flexing his finger. On examination, he had a solid tumour with normal overlying skin, on the volar ulnar border of middle phalanx with altered sensation and a positive Tinel’s along the ulnar digital nerve. Ultrasound and MRI reported a highly vascular subcutaneous tumour measuring 26x14x22mm with differential diagnoses of giant cell or peripheral nerve tumour. Intra-operatively the tumour was in continuity with the ulnar digital artery and solid in consistency. Tumour excision and microsurgical repair of the digital artery was required. Histology confirmed a well-defined nodule, composed of bundles of smooth muscle surrounding ectatic blood vessels, consistent with angioleiomyoma. On follow-up the patient reported return of full range of movement without hypersensitivity or evidence of recurrence. Conclusions Angioleiomyomas in the hand are rare. It should be considered in the differential diagnoses of painful subcutaneous tumours. Ultrasound and MRI are non-specific. Treatment is successful with excision biopsy and microsurgical repair of digital artery. Microvascular instruments should be available, and the patient consented for vein graft. |
| تدمد: | 1365-2168 0007-1323 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::96a9fa7165c7fb7d4dedf13159144e93 https://doi.org/10.1093/bjs/znab259.348 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi...........96a9fa7165c7fb7d4dedf13159144e93 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 13652168 00071323 |
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