Pseudotumoural soft tissue lesions of the hand and wrist: a pictorial review.

Autor: Vanhoenacker FM, Eyselbergs M, Van Hul E, Van Dyck P, De Schepper AM
Jazyk: angličtina
Zdroj: Insights into imaging [Insights Imaging] 2011 Jun; Vol. 2 (3), pp. 319-333. Date of Electronic Publication: 2011 Feb 25.
DOI: 10.1007/s13244-011-0076-5
Abstrakt: Mimickers of soft tissue tumours in the hand and wrist are more frequent than true neoplastic lesions. Pseudotumours belong to a large and heterogeneous group of disorders, varying from normal anatomical variants, cystic lesions, post-traumatic lesions, skin lesions, inflammatory and infectious lesions, non-neoplastic vascular lesions, metabolic disorders (crystal deposition disease and amyloidosis) and miscellaneous disorders. Although the imaging approach to pseudotumoural lesions is often very similar to the approach to "true" soft tissue tumoral counterparts, further management of these lesions is different. Biopsy should be performed only in doubtful cases, when the diagnosis is unclear. Therefore, the radiologist plays a pivotal role in the diagnosis of these lesions. Awareness of the normal anatomy and existence and common imaging presentation of these diseases, in combination with relevant clinical findings (clinical history, age, location and skin changes), enables the radiologist to make the correct diagnosis in most cases, thereby limiting the need for invasive procedures.
Databáze: MEDLINE