并关节肌瘤引发的腕管综合征:病例报告

IF 0.5 Q4 SURGERY Journal of Hand Surgery-Asian-Pacific Volume Pub Date : 2024-04-01 Epub Date: 2024-03-15 DOI:10.1142/S2424835524720056
Koichi Yano, Akira Yoneda, Yoshio Ohta, Yasunori Kaneshiro
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引用次数: 0

摘要

关节肌瘤(JAM)是一种罕见的软组织肿瘤,主要由粘液组织构成,通常出现在大关节周围。我们报告了一名 73 岁女性的病史,她到我科就诊时右腕腕突处有一个软组织肿块,已有 5 年病史。通过磁共振成像(MRI)和抽吸肿块中的凝胶内容物,初步诊断为神经节囊肿。就诊两年后,由于腕管综合征症状加重,肿瘤侵犯腕管,患者接受了肿瘤切除和腕管松解的手术治疗。组织病理学检查显示肿瘤为 JAM。随访1年后,腕管综合征症状缓解,核磁共振检查也未发现复发。证据等级:五级(治疗)。
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Carpal Tunnel Syndrome Caused by a Juxta-articular Myxoma: A Case Report.

Juxta-articular myxoma (JAM) is a rare soft tissue tumour predominantly composed of mucinous tissue and usually found around large joints. We report a 73-year-old woman with a 5-year history of a soft tissue mass in the thenar eminence of the right wrist who presented to our department. An initial diagnosis of a ganglion cyst was made using magnetic resonance imaging (MRI) and the jellied content of the mass by aspiration. Two years after presentation, surgical treatment with tumour resection and carpal tunnel release via the radial approach was performed because the symptoms of carpal tunnel syndrome worsened, and the tumour invaded the carpal tunnel. Histopathological examination revealed a JAM. At the 1-year follow-up, the symptoms of carpal tunnel syndrome had resolved, and no recurrence was confirmed by MRI. Level of Evidence: Level V (Therapeutic).

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