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Management of hemophilic pseudotumor of thumb in a child
M Issaivanan1, Mitu P Shrikande, M Mahapatra
1Department of Hematology, All India Institute of Medical Sciences, New Delhi, India. issaivanan@yahoo.co.in
Insights
Radiation therapy combined with factor VIII replacement effectively treated a child's hemophilic pseudotumor of the thumb. This combined approach led to complete resolution with no recurrence at six months, offering a promising treatment strategy.
Area of Science:
- Pediatric Hematology
- Orthopedic Oncology
- Radiation Oncology
Background:
- Hemophilic pseudotumors are rare, potentially debilitating complications in patients with hemophilia.
- Thumb involvement presents unique challenges due to functional importance and potential for growth disturbance.
Observation:
- A pediatric case of a hemophilic pseudotumor affecting the thumb is presented.
- The lesion was treated with a combined therapeutic approach.
Findings:
- Combined treatment utilizing radiation therapy and factor VIII replacement achieved complete resolution of the pseudotumor.
- No recurrence was observed during the 6-month follow-up period.
Implications:
- This case highlights the efficacy of combining radiotherapy and factor replacement for pediatric bone pseudotumors.
- The findings suggest this multimodal strategy should be strongly considered for similar cases in children.
Abstract:
A case of hemophilic pseudotumor of the thumb in a child is reported. Combined treatment with radiation therapy and factor VIII replacement resulted in complete resolution of the lesion with no recurrence at the 6-month follow-up. The combination of radiotherapy and factor replacement should be strongly considered in the treatment of bone pseudotumors in children.
