A case of Maffucci syndrome.
The Maffucci syndrome consists of a combination of multiple enchondromas and haemangiomas. It appears in the first two decades of life, with no family history. In this case we are reporting about a 26-year-old female who had suffered from multiple enchondromas since the age of two. At the age of nine, the patient presented with additional haemangiomas, which facilitated making proper diagnosis. She now presents with a massive lesion of her left upper extremity. The patient had initially rejected operative treatment when the disease was at early stages. At later stages, a more complex reconstruction of the hand would have been necessary to secure hand function. This procedure that sometimes induces a risk related to potential necessity of blood transfusion was rejected by the patient for religious reasons. Amputation of the extremity was therefore the last resort procedure.
Mathys
L
L
Department of Hand and Plastic Surgery, University Hospital of Berne, Freiburgstrasse, 3010 Berne, Switzerland. Lukas.Mathys@insel.ch
Jenzer
A
A
Della Santa
D
D
D000328:Adult; D000671:Amputation, Surgical; D000792:Angiography; D002471:Cell Transformation, Neoplastic; D018450:Disease Progression; D004687:Enchondromatosis / Q000175:diagnosis* / Q000453:epidemiology / Q000601:surgery*; D005260:Female; D005542:Forearm; D006801:Humans; D010027:Osteotomy; D035583:Rare Diseases; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps; D016312:Treatment Refusal