Epithelioid sarcoma of the median nerve mimicking a peripheral nerve sheath tumour.
We describe a case of epithelioid sarcoma of the median nerve in a 57-year-old woman presenting with symptoms and signs of carpal tunnel syndrome for 2 years. The clinical examination was suggestive of a wrist ganglion compressing the median nerve. Magnetic resonance imaging (MRI) showed a 5 cm x 3 cm mass involving the median nerve in the carpal tunnel and appearances mimicked a benign peripheral nerve sheath tumour. This report illustrates a rare tumour presenting in a rare location and emphasizes the atypical clinical and MRI features that should alert the radiologist to the possibility of a rare sarcoma mimicking a benign peripheral nerve sheath tumour.
Harish
S
S
Departments of Radiology, The Royal National Orthopaedic Hospitalm Stanmore, Middlesex, UK. sriniharish@gmail.com
Saifuddin
A
A
Fajinmi
M
M
D003937:Diagnosis, Differential; D015622:Epithelioid Cells / Q000473:pathology; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D020423:Median Neuropathy / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D008875:Middle Aged; D018317:Nerve Sheath Neoplasms / Q000175:diagnosis; D010524:Peripheral Nervous System Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D012509:Sarcoma / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D012983:Soft Tissue Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery