Peripheral Primitive Neuroectodermal Tumour of the Hand in an Adult

2007 ◽  
Vol 32 (4) ◽  
pp. 460-461 ◽  
Author(s):  
S. JAYAKUMAR ◽  
S. JATAVALABULLA ◽  
I. M. MILLER
Keyword(s):  
Adjuvant Chemotherapy ◽  
Metastatic Disease ◽  
Excision Biopsy ◽  
Primitive Neuroectodermal Tumour ◽  
Right Hand ◽  
Neuroectodermal Tumour ◽  
Radiological Staging ◽  
The Right ◽  
Ray Amputation ◽  
Little Finger

We present a case of a 28 year-old woman who presented with a peripheral primitive neuroectodermal tumour of the right hand involving the fifth metacarpal and little finger. She underwent excision biopsy, then ray amputation of her right little finger. Initial radiological staging did not reveal metastasis but, after recurrence locally at two years and in spite of adjuvant chemotherapy and radiotherapy, the patient died of progressive metastatic disease 4 years later. The current concepts and difficulties in diagnosing these tumours are discussed.

scholarly journals Primitive neuroectodermal tumour of the kidney presenting as diplopia secondary to skull metastasis

2019 ◽  
Vol 12 (12) ◽  
pp. e230827
Author(s):  
Shanmugasundaram Rajaian ◽  
Murugavaithianathan Pragatheeswarane ◽  
Karrthik Krishnamurthy ◽  
Srinivas Chakravarthy Narasimhachar
Keyword(s):  
Excision Biopsy ◽  
Team Approach ◽  
Tissue Mass ◽  
Primitive Neuroectodermal Tumour ◽  
Skull Metastasis ◽  
Inferior Surface ◽  
Neuroectodermal Tumour ◽  
Positron Emission ◽  
The Right ◽  
The Brain

A 20-year-old man presented to the department of neurology with diplopia, occipital headache and right flank pain for 1-week duration. CT of the brain revealed skull metastasis with heterogeneously enhancing dural-based mass lesion at the occipital region. Positron emission tomography revealed tracer avid soft tissue mass involving the upper pole of the right kidney with loss of fat planes with the inferior surface of the liver. Multidisciplinary team approach was discussed. He underwent palliative nephrectomy with lymph nodal mass excision. Biopsy from the renal mass was suggestive of primitive neuroectodermal tumour. He developed progressive liver metastases in spite of adjuvant chemotherapy denoting very aggressive disease.

scholarly journals Bilateral anatomical variations of the hand extensors

2016 ◽  
Vol 15 (2) ◽  
pp. 278-282
Author(s):  
Humberto Ferreira Arquez
Keyword(s):  
Anatomical Variation ◽  
Medical Science ◽  
Ring Finger ◽  
Anatomical Variations ◽  
Extensor Digitorum ◽  
Left Hand ◽  
Extensor Tendons ◽  
Right Hand ◽  
The Right ◽  
Little Finger

Background: The purpose of this paper is to describe an anatomical variation of the hand extensor on the little finger of the right hand which receives four tendons, condition unknown, as it is the first case reported so far in the literature. The human extensor tendons of hand often display an array of variations. Awareness of the anatomy and variations of the extensor tendons on the dorsum of the hand is necessary not only for the anatomist but also for surgeons when considering tendons for hand surgery, tendon rerouting or transplants. Materials and Methods: Bilateral anatomical variation in the upper limb was found during routine dissection in a 75-year-old male cadaver in the Morphology Laboratory at the University of Pamplona. The variations were recorded and photographed. Result: In the left hand the extensor digitorum there was a single tendon to the index, double tendon to the middle, triple tendon to the ring finger, a single tendon to the little finger or digiti minimi. The extensor digiti minimi has double tendon. In the right hand the extensor digitorum there was a single tendon to the index, triple tendon to the middle finger, triple tendons to the ring finger, a double tendon to the little finger. The extensor digiti minimi has double tendon. The little finger receives four tendons, 2 of extensor digitorum and 2 of extensor digiti minimi. The dorsum of the left hand and right showed juncturae tendinum type 2, between the extensors tendons in the 3rd intermetacarpal space; type 3, between the extensors tendons in the 4th inter metacarpal space. Conclusion: The presence of multiple tendons may alter the kinematics around the site of attachment to the phalanx. Knowledge of anatomical variations and normal anatomy of the extensor tendons, may be helpful while performing graft and tendon transfer operations.Bangladesh Journal of Medical Science Vol.15(2) 2016 p.278-282

Jvppiter Capitolinvs

1938 ◽  
Vol 28 (1) ◽  
pp. 50-55
Author(s):  
Annie Zadoks Jitta
Keyword(s):  
Left Hand ◽  
Excellent Quality ◽  
Right Hand ◽  
The Right ◽  
Light Green ◽  
Little Finger

The bronze statuette shown in plates ii and iii (2), which represents an enthroned deity, has recently come to Holland from an old Italian collection and is now in private hands. It is 14 cm. high and is hollow; the back has been modelled to just below the waist; the feet are finished in the round. It is of excellent quality and very well preserved and is covered by a light green patina, here and there unfortunately affected by corrosion. The attributes in the right and the left hand are missing; the right thumb and little finger are broken off; the left arm is slightly twisted.The god, evidently Zeus or Juppiter, is represented with nude torso; a himation covers waist and legs and is arranged on the lap in a kind of loop; the feet are shod with sandals. The right hand is stretched forwards with upturned palm; the left hand is raised high, and clearly once held a long sceptre. The left leg is thrust forward, the right somewhat drawn in, and the head is turned slightly to the right.

Primitive neuroectodermal tumour (PNET) of the renal capsule mimicking solid adrenal tumour

2020 ◽  
Vol 13 (10) ◽  
pp. e235484
Author(s):  
Amrin Israrahmed ◽  
Somesh Singh ◽  
Hira Lal ◽  
Manoj Jain
Keyword(s):  
Adrenal Gland ◽  
Large Mass ◽  
Rare Entity ◽  
Renal Capsule ◽  
Review Of Literature ◽  
Adrenal Tumour ◽  
Primitive Neuroectodermal Tumour ◽  
Neuroectodermal Tumour ◽  
Suprarenal Mass ◽  
The Right

Primitive neuroectodermal tumour (PNET) of renal capsule is a rare entity. We report a case of a 17-year-old girl, who presented with symptoms of epigastric and right hypochondrium pain since 1 year. She was afebrile and physical examination revealed a soft, non-tender, firm, bimanually palpable and ballotable mass along right flank. Ultrasound abdomen showed a large heteroechoic mass in right suprarenal region with indistinct planes with upper pole of right kidney. On CT, a large right suprarenal mass was noted with origin likely from right adrenal gland. Surgery was done and intraoperatively, the large mass in right suprarenal region showed involvement of the upper pole of the right kidney. The right adrenal gland was small in size, compressed and displaced by the lesion. Histopathology revealed the mass to be PNET of kidney. We report the relevant imaging findings of the case with review of literature of this entity.

Ulnar Ray Deficiency

1994 ◽  
Vol 19 (2) ◽  
pp. 244-247 ◽  
Author(s):  
E. HORII ◽  
T. MIURA ◽  
R. NAKAMURA
Keyword(s):  
Ring Finger ◽  
Skeletal Abnormalities ◽  
Right Hand ◽  
The Right ◽  
Little Finger

We report three cases of ulnar ray deficiency in one family. The father had a left ring finger deficit, and a hypoplastic little finger was amputated at childhood. His first baby had a deep cleft between the ring and little finger in the right hand, and his second baby had complete absence of the left ulna, only one metacarpal, and two digits were present on the hand. All three cases were unilaterally involved and they had no other skeletal abnormalities.

Anatomical Note on a Case of Deformity of the Right Upper Extremity in an Insane Patient [Nota anatomica sopra un caso di deformità all’ arto superiore destro osservata in un frenastenico]. (Arch. di Psichiat., vol. xxiii, fasc. 6.) Pianetta

1903 ◽  
Vol 49 (206) ◽  
pp. 546-546
Author(s):  
W. C. Sullivan
Keyword(s):  
Upper Extremity ◽  
Flexor Tendons ◽  
Right Hand ◽  
Superficial Muscle ◽  
Morphological Anomalies ◽  
Muscles Of The Hand ◽  
The Right ◽  
Little Finger

In vol. xxi of the Archivio (1900) the author published a note on some cases of morphological anomalies of the extremities in the insane; and in the present paper he records the result of an autopsy on one of these patients—an hereditary degenerate with partial syndactylism of the right hand. Several anomalies were found in the bones of the hand and in the muscles of the forearm. The osseous abnormalities were most notable in the second phalanges; in two fingers (index and middle) that phalanx was absent; in the ring and little fingers it was rudimentary, and in the latter it was partially blended with the ungual phalanx. The ungual phalanges of the index and middle fingers were united, and bore a single nail. The os magnum and unciform bone were blended. The rest of the hand skeleton was normal. The muscles of the hand and forearm were all somewhat atrophic. Their most important anomalies were the absence of the extensor indicis and of the tendon of the flexor sublimis digitorum to the little finger, and a reversal of the ordinary arrangement of the flexor tendons, the deep flexor being perforated by the tendons of the superficial muscle.

Dermoid Inclusion Cyst Following Percutaneous Needle Fasciotomy: A Novel Complication

2019 ◽  
Vol 24 (01) ◽  
pp. 116-117 ◽  
Author(s):  
Jenny Reid ◽  
Jill Baker ◽  
Dominique Davidson
Keyword(s):  
Soft Tissue ◽  
Histological Analysis ◽  
Penetrating Trauma ◽  
Flexion Contracture ◽  
Inclusion Cyst ◽  
Unique Case ◽  
Right Hand ◽  
Soft Tissue Swelling ◽  
The Right ◽  
Little Finger

We present the case of a fit and well 62-year-old male with Dupuytren's disease in the right hand who underwent percutaneous needle fasciotomy (PNF) for a moderate flexion contracture of the right little finger. 18 months later he developed a pain-free soft tissue swelling at the distal previous needling site. A fasciectomy procedure identified a cyst within the pre-tendinous cord, which was confirmed as a dermoid inclusion cyst on histological analysis. Dermoid inclusion cysts may occur in the hands at the site of penetrating trauma but we are unaware of any report of an inclusion cyst at the site of PNF surgery. We present this unique case of a dermoid inclusion cyst following percutaneous needle fasciotomy as a novel complication.

Prevalence and Distribution of Hand Fractures

2003 ◽  
Vol 28 (5) ◽  
pp. 491-495 ◽  
Author(s):  
E. B. H. VAN ONSELEN ◽  
R. B. KARIM ◽  
J. JORIS HAGE ◽  
M. J. P. F. RITT
Keyword(s):  
Emergency Department ◽  
Seasonal Variability ◽  
Medical Centre ◽  
Retrospective Survey ◽  
Right Hand ◽  
Hand Fractures ◽  
Accident And Emergency ◽  
Accident And Emergency Department ◽  
The Right ◽  
Little Finger

A retrospective survey of the medical charts of all 36,518 patients attending the Accident and Emergency Department of the VU University Medical Centre, in Amsterdam, from January 1 to December 31, 1996 was performed. Of these, 4303 sustained one or more fractures, and hand fractures accounted for 19% of all fractures. Patients with hand fractures were typically men aged between 15 and 35 years. The right hand was involved as often as the left. Most of the hand fractures involved the metacarpals but, as a group of bones, the combined phalanges were most commonly fractured. The little finger ray was most commonly injured of the hand. We found no seasonal variability in the incidence of hand fractures.

Editorial Note

1946 ◽  
Vol 11 (1) ◽  
pp. 2-2
Keyword(s):  
Editorial Note ◽  
Speech Sounds ◽  
Left Hand ◽  
Hand Column ◽  
Right Hand ◽  
Infant Speech ◽  
The Right

In the article “Infant Speech Sounds and Intelligence” by Orvis C. Irwin and Han Piao Chen, in the December 1945 issue of the Journal, the paragraph which begins at the bottom of the left hand column on page 295 should have been placed immediately below the first paragraph at the top of the right hand column on page 296. To the authors we express our sincere apologies.

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