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Myopericytoma Involving Proximal Phalanx of Index Finger: Masquerading as Tenosynovial Giant Cell Tumor - A Case
M Kishore Kumar1, Sameer Panchal2, Lokesh Dabral3
1Department of Orthopaedics, Shri Venkateshwaraa Medical College, Pondicherry, India.
Introduction:
Myopericytoma (MPC) is an uncommon benign smooth muscle cell neoplasm which frequently arises in lower extremities, sparsely they can be found in upper extremities and head and neck region. Very few case reports are available in the literature documenting hand localization of this tumor.
Case Presentation:
In this report, we present a case of 83-year-old male individual with a mass lesion on the proximal phalanx of index finger of the right hand. Recent trivial trauma led the patient to medical assistance. Imaging mimicked Giant cell tumor of tendon sheath due to site of the lesion. The lesion was excised surgically. The final diagnosis of the specimen confirmed by histopathology was MPC, a benign smooth-muscle cell neoplasm.
Conclusion:
MPC is a rare entity; however, definitive diagnosis is often challenging because it mimics some malignant soft-tissue neoplasms. A multidisciplinary approach is required to identify this lesion as being benign and thus define the correct modality of treatment.
