Masson’s tumor involving the hand: A case report
| Autor: | Ahmed S. Alotaibi, Mohammed A. Almarghoub, Norhan K. Ahmed, Qutaiba N.M. Shah Mardan, Moraya S. Alqahtani |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment animal diseases Article 03 medical and health sciences 0302 clinical medicine Case report medicine Angiosarcoma Thrombus Endothelial proliferation integumentary system business.industry IPEH medicine.disease Hand eye diseases Radiation therapy Intravascular papillary endothelial hyperplasia 030220 oncology & carcinogenesis Masson’s tumor cardiovascular system Vascular tumor 030211 gastroenterology & hepatology Surgery Histopathology Radiology Differential diagnosis business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • Masson’s tumor or IPEH is a rare benign tumor composed of reactive endothelial cells in a thrombus. • Angiosarcoma may mimick Masson’s tumor, thus ruling it out is imperative. • Surgical resection conveys excellent outcome and prognosis, with handful of recurrence cases. Introduction Masson’s tumor or IPEH represents a rare exuberant endothelial proliferation within a thrombus through an uncomprehended phenomenon. Being reported for the 1st time in Saudi Arabia, plastic surgeons should keep it in the list of differential diagnosis. Case We report a case of 17-year-old-girl who presented with a 6-month-old, painful mass on the volar side of her left 4th MCP. Radiology was inconclusive. Histopathology reported Masson’s tumor following surgical excision with good functional outcome and no recurrence. Discussion Comprising 2%–4% of overall skin vascular tumor and with no identifying clinical or radiological feature, IPEH poses as a diagnostic challenge. The literature reports similar tumors in the hand with different locations and presentations. Surgical excision remains the cornerstone of management, yet the role of radiotherapy remains undefined. Incomplete excision may result in recurrence, which requires a consensus on the extend of marginal excision. Rare cases of recurrence were reported. Histopathology is the only reliable method of diagnosis. Conclusion We present the 1st reported case of IPEH involving the hand in Saudi Arabia. Plastic surgeons should be aware of such rare conditions and be able to differentiate them from relatively identical yet more sinister tumors, especially angiosarcoma. |
| Databáze: | OpenAIRE |
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