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Wednesday 4 October 2017

CASE 455: FINGER TUMOR, Dr PHAN THANH HAI, Dr TRUONG TRI HUU, MEDIC MEDICAL CENTER, HCMC, VIETNAM


Woman 54 yo,  4 months  ago  detected  one mass, at 4th finger of right hand,  slow growth,  no pain,  no disturbing movement.of this finger  (see  photo1, 2).



X-Rays  of AP and lateral views of 4th finger  = bone is  normal but  periosteum changing this mass to a soft tissue tumor ( xrays 1, 2).




Ultrasound   scan of this mass is hypoechoic like a cyst of lateral finger, from the tendon,  size 3 cm of length (US 1).
US 2  CDI of  vascular supplying arround this tumor means  a solid tumor
US 3  crossed section  of the arround vascular tumor.
US 4 mass is soft  on elastoscanning , arround 30 kPa.




OPERATION REMOVED TOTAL TUMOR.

MACROSCOPIC  REPORT BY SURGEON LOOKED LIKE  XANTHOMA, BUT  MICROSCOPIC REPORT IS  GEANT CELL TUMOR of TENDON SHEATH.


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