[Intramuscular angioma in the hand. A case report].
Intramuscular angiomas are rare vascular tumors with locally aggressive growth between the fibers of muscle. A malignant aspect poses a danger for the function of the hand. We report the case of a 32-year-old woman with a painless tumor in the thenar. Physical examination showed a 2 x 3 x 5 cm fixed and engorged swelling. Perfusion and sensibility were intact. The flexion and opposition of the thumb were reduced. CAT showed a tumor of the thenar with a solid structure with signal enhancement after administration of contrast medium. Histologic examination after local resection showed an intramuscular angioma. Intramuscular angiomas have a malignant aspect because of the rapid and infiltrative growth followed by functional impairment, pain, and deformity. A high rate of recurrence is described. Thus, radical excision is indicated.
Altmann
S
S
Klinik für Plastische, Wiederherstellungs- und Handchirurgie, Medizinische Fakultät, Otto-von-Guericke-Universität, Magdeburg. silke.altmann@medizin.uni-magdeburg.de
Fansa
H
H
Schildhaus
H-U
HU
Schneider
W
W
D000328:Adult; D005260:Female; D006391:Hemangioma / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D019042:Muscle Neoplasms / Q000175:diagnosis* / Q000601:surgery; D010173:Palpation; D011859:Radiography; D013933:Thumb / Q000000981:diagnostic imaging* / Q000473:pathology* / Q000601:surgery; D016896:Treatment Outcome
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