Sunday, 14 October 2018

CASE 518: FINGER TUMORS, Dr PHAN THANH HẢI, Dr NGUYỄN NGHIỆP VĂN, Dr TRẦN THỊ THANH NGA, Dr LÊ THÔNG LƯU, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

Woman 20yo with right hand  having many tumors at fingers,  slow growth, difficult movement of flexion ( see foto   (right hand  dorsal view:   tumor at first finger, finger number 3  and  number 5)  color skin  is changed,   soft in palpation and  no pain.



Ultrasound of  this tumor by linear probe 11 MHz : US 1:  tumor solid  hypoechoic, ellypsoid ;
 2 -3cm, central necrosis; crossed section ( US 2 ) with more vascular supplying and not fixed to bone.





Another tumor only in right hand not related to joint .
Clinical history: she was being treated in hospital as  hemangioma,   but  sonologist said  it is geant cell tumor of the tendon sheath.

X-Rays films of the right hand: No erosion of the bone.
Abnormal atrophic metatarsal number 4. Typical cavernous hemangioma and phleboliths.






MRI OF RIGHT HAND   SHOWS MULTIPLE TUMORS.



Operation removed one small tumor at first finger.


Histology report is benign capillary hemangioma, perycyte hemangioma of fingers.




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