Severe Destructive Tendinopathy in the Wrist Due to Dialysis-Related Amyloidosis

2017 ◽  
Vol 22 (03) ◽  
pp. 376-379 ◽  
Author(s):  
Dongmin Kim ◽  
In Cheul Choi ◽  
Jong Woong Park
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Mass ◽  
Wrist Joint ◽  
Joint Stiffness ◽  
Surgical Excision ◽  
Tissue Mass ◽  
Palpable Mass ◽  
Extensor Tendons ◽  
Clinical Presentations

Dialysis-related amyloidosis (DRA) is a specific subtype of amyloidosis with several clinical presentations. Herein we report a case of severe destructive tendinopathy around the wrist associated with long-standing hemodialysis (HD). A 63-year-old female patient who had been on regular HD for 23 years suffered from symptoms of pain and a palpable mass around the wrist. Magnetic resonance imaging showed an ill-defined soft tissue mass around the extensor tendons that partially invaded the wrist joint. We performed surgical excision and tenolysis for the mass. The operative finding revealed an ill-defined yellowish soft tissue mass extensively invading the extensor tendons and wrist joint. The tendon fibers were severely fibrillated and showed impending rupture due to the infiltrated mass. Histological examination showed DRA. Amyloidosis-induced tendinopathy should be considered when a patient on long-term HD complains of an unusual mass-like lesion in the extremity and/or nonspecific joint stiffness. Early surgical intervention improves patient’s disability and decreases the risk of spontaneous tendon rupture.

scholarly journals Giant epidermal cyst of the foot

2014 ◽  
Vol 142 (9-10) ◽  
pp. 607-609 ◽  
Author(s):  
Melih Malkoc ◽  
Özgür Korkmaz ◽  
Yıldıray Genç ◽  
Ferhat Say ◽  
Mahmut Aytekin
Keyword(s):  
Soft Tissue ◽  
Epidermoid Cyst ◽  
Soft Tissue Mass ◽  
Surgical Excision ◽  
Epidermal Cyst ◽  
Pathology Report ◽  
X Rays ◽  
Tissue Mass ◽  
Palpable Mass ◽  
Soft Tissue Masses

Introduction. Epidermoid inclusion cysts are usually composed of epidermal elements implanted into the dermal layers. Patients are seen in the outpatient clinics with a mass. Most of the complaints are mechanical and cosmetic problems. Case Outline. A 34-year-old female patient was admitted to our clinic because of swelling and pain in her right foot. A palpable mass was detected in the first web. On the x-rays of the foot no osseous lesion was detected. There was a soft tissue mass in the first web according to MRI report. Soft tissue mass was excised and sent to pathology. According to pathology report the mass was an epidermoid cyst 5?2?1.5 cm in size. There were no problems during follow-up of the patient for 6 months after surgery. The patient had no swelling in the foot and had no additional complaints on checkup. Conclusion. In the differential diagnosis, we should take into consideration epidermoid cyst of large soft tissue masses of the foot. Surgical excision should be done within the appropriate limits.

CHARACTERISTICS OF SOFT TISSUE MASS IN THE HAND BY ULTRASONOGRAPHIC EXAMINATION

2005 ◽  
Vol 09 (01) ◽  
pp. 45-51
Author(s):  
Alexander Blankstein ◽  
Aharon Chechick ◽  
Abraham Adunski ◽  
Uri Givon ◽  
Yigal Mirovski ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Mass ◽  
Wrist Joint ◽  
Imaging Modality ◽  
Routine Practice ◽  
X Rays ◽  
Diagnostic Challenge ◽  
Tissue Mass ◽  
Soft Tissue Masses ◽  
The Right

Soft tissue masses are amongst the commonest complaints encountered in orthopedic practice. Of these, masses found in the hand and the wrist are presented at higher frequency. They are often painful and may cause limitation of movement. This work describes the prevalence and the nature of soft tissue masses in the hand and wrist encountered in routine practice. This work was performed to assess the characteristics of soft tissue mass in the hand and the effectiveness of ultrasonography in the diagnosis of soft tissue masses and their differentiation from other lesions in the hand and wrist. Orthopedic surgical conditions that involve soft tissue in the hand and wrist may remain a diagnostic challenge when clinical diagnosis is uncertain and standard X-rays are non-diagnostic. High resolution ultrasound is widely available, non-invasive, without damage of radiation, imaging modality that can help the diagnosis. We reviewed retrospectively 25 patients with soft tissue masses. We compared the ultrasound findings with the histological findings in seven operated patients. A substantial majority of these lesions occurred in the right hand: 79% of the lesions were in the dorsal aspect of the hand, of which 37% were distal to the wrist joint, among them 42% at wrist either radial or ulnar; and 21% of the lesions were found in the volar aspect, among them 17% at wrist aspect, either radial or ulnar side. No predisposing factors could be found. The findings of this study reaffirm the utility of ultrasonography as primary diagnostic tool in routine orthopedic practice.

scholarly journals MUSCULOSKELETAL HYDATIDOSIS: REPORT OF TWO СASES AND REVIEW THE LITERATURE

2013 ◽  
Vol 18 (1) ◽  
pp. 39-43
Author(s):  
A. M. Bronstein ◽  
N. A. Malishev ◽  
Yu. A. Legonkov ◽  
G. H. Musaev ◽  
S. N. Jarov ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Mass ◽  
Preoperative Evaluation ◽  
Surgical Excision ◽  
Fine Needle Biopsy ◽  
Soft Tissue Tumors ◽  
Hydatid Cysts ◽  
Tissue Mass ◽  
Life Threatening ◽  
Atypical Localization

Musculoskeletal system is rarely involved by hydatid cyst, the larvalform of Echinococcus granulosus. Two cases of intramuscular hydatid cysts within thigh musculature are being reported with the intent of highlighting this atypical localization of the disease. Preoperative computerized tomography suggested an unusual location of echinococcus. Since the soft tissue tumors may be confused with hydatid cysts, preoperative evaluation of these patients is critical for proper handling during surgery to avoid life-threatening complications. Surgical excision with postoperative antihelmenthics formed the main modality. These cases emphasize that especially in endemic areas to avoid fine-needle biopsy and the risk of spillage of cyst contents hydatidosis should be included in differential diagnosis of any soft tissue mass.

scholarly journals Bursitis of the coccyx in an adult with rheumatoid arthritis mimicking a sacrococcygeal meningocele

2021 ◽  
Vol 12 ◽  
pp. 220
Author(s):  
Christos Tzerefos ◽  
George K. Koukoulis ◽  
Marianna Vlychou ◽  
Alexandros G. Brotis ◽  
Kostas N. Fountas ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Soft Tissue ◽  
Soft Tissue Tumor ◽  
Soft Tissue Mass ◽  
Surgical Excision ◽  
Total Resection ◽  
Tissue Mass ◽  
Chronic Inflammatory Condition ◽  
Sacrococcygeal Region ◽  
Wall Calcification

Background: Bursitis is a chronic inflammatory condition characterized by the deposition of cholesterol, macrophage infiltration, and bursal wall calcification. Bursitis is, however, rarely found in the sacrococcygeal region where it may present as a space-occupying mass. Case Description: A 64-year-old male with rheumatoid arthritis presented with 3 years’ duration of difficulty sitting and walking due to a soft-tissue mass involving the coccyx region. Once the patient’s MR demonstrated a cystic lesion with erosion of the coccyx, the patient underwent gross total resection of the lesion that proved to be pathologically consistent with bursitis. Postoperatively, the patient’s complaints fully resolved. Conclusion: Bursitis may present as a soft-tissue tumor-like lesion in the coccyx that favorably responds to gross total surgical excision.

Gastric smooth muscle hamartoma in a cat

2010 ◽  
Vol 12 (4) ◽  
pp. 334-337 ◽  
Author(s):  
Thomas J. Smith ◽  
Wendy I. Baltzer ◽  
Craig G. Ruaux ◽  
Jerry R. Heidel ◽  
Patrick Carney
Keyword(s):  
Smooth Muscle ◽  
Soft Tissue ◽  
Soft Tissue Mass ◽  
Clinical Signs ◽  
Surgical Excision ◽  
Endoscopic Examination ◽  
Tissue Mass ◽  
Gastric Smooth Muscle ◽  
Esophageal Sphincter

An 11-year-old cat presented for evaluation of intermittent vomiting, constipation and hyporexia of 3 weeks duration. Ultrasonographic and endoscopic examination revealed a soft tissue mass adjacent to the lower gastro-esophageal sphincter. Surgical excision of the mass was successfully performed resulting in a resolution of clinical signs. Histologically the mass was consistent with a smooth muscle hamartoma. At follow-up 7 months after surgery, the cat remained free from clinical signs.

scholarly journals Lipoblastomas and liposarcomas in paediatric patients: A case series

2021 ◽  
Vol 49 (3) ◽  
pp. 030006052098136
Author(s):  
Joyce J.L.H McRae ◽  
Asra Hashmi ◽  
Andrei Radulescu ◽  
Cody S. Carter ◽  
Faraz A. Khan
Keyword(s):  
Soft Tissue ◽  
Histological Examination ◽  
Clinical Case ◽  
Soft Tissue Mass ◽  
Case Series ◽  
Surgical Excision ◽  
Tissue Mass ◽  
Paediatric Patients ◽  
Soft Tissue Masses

Lipoblastomas and liposarcomas are rare causes of soft tissue masses in paediatric patients. In this retrospective clinical case series we identified 11 patients from our paediatric database (10 with a lipoblastoma and one with a liposarcoma) who had attended our hospital between 1998 and 2019. The median age of patients with lipoblastoma was 29 months. All lipoblastoma cases were managed with surgical excision and histological examination. The 18-year old patient with liposarcoma presented with a metastatic and unresectable tumour that was unresponsive to chemotherapy and radiation. Our experience demonstrates the importance of differentiating the type of soft tissue mass in children.

Intramuscular hemangioma. Case report and literature review

1990 ◽  
Vol 80 (8) ◽  
pp. 441-443 ◽  
Author(s):  
J Nack ◽  
L Gustafson
Keyword(s):  
Soft Tissue ◽  
Conservative Therapy ◽  
Soft Tissue Mass ◽  
Surgical Excision ◽  
Daily Activities ◽  
Medical Attention ◽  
Unknown Etiology ◽  
Resonance Imaging ◽  
Tissue Mass ◽  
Intramuscular Hemangioma

A case was presented in which a 28-year-old male presented with tenderness and stiffness in the posterior muscle group of his right leg. The patient's symptoms had been present intermittently for nearly 23 years. Recently, the pain had progressed to the point of limiting his normal daily activities. Initial conservative therapy, which consisted of Zorprin, heel lifts, and low Dye strapping, failed to alleviate the symptoms. Magnetic resonance imaging was used to identify a mass of an unknown etiology. Following orthopedic and oncologic consultation, surgical excision was advised and performed. Pathologic examination of the mass confirmed that the tumor was an intramuscular hemangioma. Classically, with intramuscular hemangiomas, patients may have soft tissue complaints, such as pain and swelling, present for years. Patients usually defer medical attention until the primary symptom of pain occurs. When a patient complains of a painful soft tissue mass of the leg, and intramuscular hemangioma should be included in the differential diagnosis. The appropriate radiographic studies and consultations should be performed, and surgical excision should be carried out.

scholarly journals Non-rhabdomyosarcoma soft tissue sarcoma in a neonate, a rare and aggressive disease: case report

2018 ◽  
Vol 6 (1) ◽  
pp. 209
Author(s):  
Tanvi Khanna ◽  
Kunal Das ◽  
B. P. Kalra
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Sarcoma ◽  
Anterior Abdominal Wall ◽  
Soft Tissue Mass ◽  
Soft Tissue Sarcomas ◽  
Surgical Excision ◽  
Tissue Mass ◽  
Disease Case ◽  
Variable Success ◽  
Rare Group

Neonatal soft tissue sarcomas are a rare group of tumors. The behavior and aggressiveness of neonatal STS is variable. Surgical excision has been noted to be most important factor affecting outcome. However, when non-mutilating surgery is not possible, or resection is incomplete, chemotherapy and radiotherapy have been tried with variable success. We encountered a case of a neonate having large soft tissue mass at anterior abdominal wall. Biopsy and immunohistochemistry confirmed it as undifferentiated soft tissue sarcoma. Surgical excision was incomplete with margin positivity. His disease showed recurrence in short duration of time and despite adjuvant chemotherapy, progression was noted. The child abandoned the treatment and died within 3 months of life.

Angioleiomyoma of the lower extremity

1997 ◽  
Vol 87 (8) ◽  
pp. 388-391 ◽  
Author(s):  
JR Hanft ◽  
JA Carbonell ◽  
HQ Do
Keyword(s):  
Differential Diagnosis ◽  
Soft Tissue ◽  
Lower Extremity ◽  
Female Patient ◽  
Soft Tissue Mass ◽  
Surgical Excision ◽  
Patient Treatment ◽  
Tissue Mass ◽  
Histologic Analysis ◽  
Subcutaneous Mass

Angioleiomyomas are benign soft tissue lesions that should be included in the differential diagnosis of any pedal soft tissue mass. There should be an increased index of suspicion for angioleiomyoma, especially when a freely movable subcutaneous mass is encountered in a middle-aged female patient. Treatment of such masses should involve surgical excision to relieve the symptomatology and to obtain tissue for a definitive histologic analysis. If the mass recurs, then the possibility of leiomyosarcoma should be explored.

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