title: Leiomyoma of the hand mimicking a pearl ganglion.
abstract: Leiomyomas rarely occur in the hand. To our knowledge, there have been no reports of a leiomyoma of the hand mimicking a pearl ganglion in the English literature. We report such a case with a leiomyoma of the right third finger in a 59-year-old woman. The tumor was excised together with the underlying sheet of tissue. The pathology revealed that the tumor was linked to the underlying structure of a vascular wall by a stalk of tumor tissue. This report serves to remind clinicians to include leiomyoma in the differential diagnosis when encountering a 'ganglion-like lesion'. Also, this report demonstrates the link between a leiomyoma and its underlying origin.
authors.affiliation: Department of Orthopedic Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan 333, ROC. yangwene@cgmh.org.tw
authors.forename: Wen-E
authors.initials: WE
authors.lastname: Yang
authors.forename: Swei
authors.initials: S
authors.lastname: Hsueh
authors.forename: Chih-Hua
authors.initials: CH
authors.lastname: Chen
authors.forename: Zhon-Liau
authors.initials: ZL
authors.lastname: Lee
authors.forename: Wen-Jer
authors.initials: WJ
authors.lastname: Chen
mesh_terms: D003937:Diagnosis, Differential; D005260:Female; D005385:Fingers; D045888:Ganglion Cysts / Q000175:diagnosis*; D006801:Humans; D007889:Leiomyoma / Q000175:diagnosis*; D008875:Middle Aged; D012983:Soft Tissue Neoplasms / Q000175:diagnosis*