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Related Experiment Videos

Vascular leiomyomas in the hand

S C Callé1, R G Eaton, J W Littler

  • 1Columbia College of Physicians and Surgeons, Department of Surgery, New York, NY.

The Journal of Hand Surgery
|March 1, 1994
PubMed
Summary

Vascular leiomyomas, rare benign hand tumors, typically require surgical excision. A recent case highlights successful treatment of a digital artery angioleiomyoma using end-to-end anastomosis.

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Area of Science:

  • Vascular Surgery
  • Surgical Oncology
  • Hand Surgery

Background:

  • Vascular leiomyomas (angioleiomyomas) are uncommon benign smooth muscle tumors.
  • They predominantly affect individuals in their third to fifth decades, with a higher incidence in men.
  • Diagnosis before surgical intervention is rare.

Observation:

  • This study presents a case of vascular leiomyoma involving a digital artery, a rare occurrence.
  • The tumor was diagnosed via arteriography and treated with mass excision and arterial anastomosis.
  • Four cases from the authors' experience and 105 from literature were reviewed.

Findings:

  • Vascular leiomyomas in the hand, particularly those involving digital arteries, are rare.
  • Surgical excision combined with ligation of feeder vessels is the standard treatment.
  • End-to-end anastomosis is a viable option for digital artery involvement.

Implications:

  • This case and review contribute to understanding the management of rare vascular tumors in the hand.
  • Highlights the importance of considering vascular leiomyomas in hand masses.
  • Suggests arterial reconstruction techniques may be necessary for digital artery angioleiomyomas.

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