Rapidly expanding thenar eminence ganglion: a case report

Cases Journal - Tập 2 - Trang 1-2 - 2009
EA Azzopardi1, S Gujral1, A Mandal1, M Kulkarni1
1Specialty Registrar, Department of Plastic Reconstructive and Aesthetic Surgery, Wexham Park Hospital, Slough, UK

Tóm tắt

This study documents the first reported case of a rapidly growing (volar) thenar eminence ganglion arising form the first carpometacarpal joint, masquerading as a sarcoma. The discussion informs the hand surgeon on the evidence regarding the unusual presenting features. An 85 year old left hand dominant female presented with a six week history of rapidly growing lump on the thenar eminence. Clinical examination revealed a non-tender large lobulated mobile swelling measuring 5 × 4 cm and involving the whole thenar eminence. Ganglia may present from the thenar eminence and are a source of diagnostic confusion.

Tài liệu tham khảo

Carp L, Stout AP: A study of ganglion with especial reference to treatment. Surg Gynecol Obstetr. 1928, 47: 460. Butler ED, Hamill JP, Seipel RS, et al: Tumours of the hand: A ten year survey and report of 437 cases. Am J Surg. 1960, 100: 293-10.1016/0002-9610(60)90302-0. Leung PC: Tumors of the hand Hand. 1960, 13: 169-10.1016/S0072-968X(81)80059-9. Brien EW, Terek RM, Geer RJ, Caldwell G, Brennan MF, Healey JH: Treatment of soft-tissue sarcomas of the hand. J Bone Joint Surg Am. 1995, 77: 564-571. Campanacci M, Bertoni F, Laus M: Soft tissue sarcoma of the hand. Italian I Orthop and Traumatol. 1981, 7: 313-327.