Radiological Appearences of Benign Soft-tissue Tumors of the Hand and Wrist with Special Emphasis on MRI

Aralaşmak, Ayşe; YILMAZ, Temel Fatih; Toprak, Huseyin; Gurkan, Volkan; atasoy, bahar; Sönmez, Fatma Cavide

doi:10.14235/bas.galenos.2021.6398

Radiological Appearences of Benign Soft-tissue Tumors of the Hand and Wrist with Special Emphasis on MRI

Temel Fatih YILMAZ, (Bezmialem Vakıf Üniversitesi Tıp Fakültesi, Radyoloji Anabilim Dalı, İstanbul, Türkiye)

Huseyin Toprak, (Bezmialem Vakıf Üniversitesi Tıp Fakültesi, Radyoloji Anabilim Dalı, İstanbul, Türkiye)

Bahar ATASOY, (Bezmialem Vakıf Üniversitesi Tıp Fakültesi, Radyoloji Anabilim Dalı, İstanbul, Türkiye)

Fatma Cavide SÖNMEZ, (Bezmialem Vakıf Üniversitesi Tıp Fakültesi, Patoloji Anabilim Dalı, İstanbul, Türkiye)

Ayşe ARALAŞMAK, (Bezmialem Vakıf Üniversitesi Tıp Fakültesi, Radyoloji Anabilim Dalı, İstanbul, Türkiye)

Volkan Gurkan (Bezmialem Vakıf Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, Türkiye)

Bezmiâlem Science

4 1

Yıl: 2022 Cilt: 10 Sayı: 2 Sayfa Aralığı: 247 - 260 Metin Dili: İngilizce DOI: 10.14235/bas.galenos.2021.6398 İndeks Tarihi: 05-05-2023

Radiological Appearences of Benign Soft-tissue Tumors of the Hand and Wrist with Special Emphasis on MRI

Öz:

Tumoral and pseudotumoral lesions of the hand and wrist are commonly encountered in routine clinical practice. Although most of them are benign, radiological differential diagnosis of these lesions is difficult, because of their nonspecific imaging findings, except ganglia, localized type of tenosynovial giant cell tumors and lipomas. Digital radiography, computed tomography, and ultrasound may be useful in identification of the lesions in the wrist and hand, but magnetic resonance imaging with superior contrast and spatial resolution is the most important imaging modality.

Anahtar Kelime:

El-El Bileği İyi Huylu Yumuşak Doku Lezyonlarının MR Görüntüleme Bulguları

Öz:

El ve el bileğinin tümoral ve psödotümöral lezyonlarına rutin klinik uygulamada sıklıkla rastlanır. Çoğu iyi huylu olmasına rağmen, gangliyonlar, lokalize tenosinoviyal dev hücreli tümörler ve lipomlar dışında özgün olmayan görüntüleme bulguları nedeniyle bu lezyonların radyolojik ayırıcı tanısı zordur. El bileği ve eldeki lezyonların tanımlanmasında dijital radyografi, bilgisayarlı tomografi ve ultrason yararlı olabilir, ancak üstün kontrast ve uzaysal çözünürlüğe sahip manyetik rezonans görüntüleme en önemli görüntüleme yöntemidir.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık

1. Fletcher CDM, Unni KK, Mertens F. (Eds.): WOH classification of tumors. Pathology and genetics of tumors of soft tissue and bone. Lyon, France: IARC, 2002.
2. Lee CH, Tandon A. Focal hand lesions: review and radiological approach. Insights imaging 2014;5:301-19.
3. Oca Pernas R, Prada Gonzalez R, Santos Armentia E, Hormaza Aguirre N, Tardaguila de la Fueante G, Trinidad Lopez C, et al. Benign soft-tissue lesions of the fingers: radiopathological correlation and clinical considerations. Skeletal Radiol 2015;44:477-90.
4. Wu JS, Hochman MG. Soft-tissue tumors and tumorlike lesions: a systematic imaging approach. Radiology 2009;253:297-316.
5. Chhabra A, Soldatos T. Soft-tissue lesions: when can we exclude sarcoma? AJR Am J Roentgenol 2012;199:1345-57.
6. Bermejo A, De Bustamamente TD, Martinez A, Carrera R, Zabia E, Manjon P. MR imaging in the evaluation cystic-appearing soft-tissue masses of the extremities. Radiographics 2013;33:833-55.
7. Vanhoenacker FM, Eyselbergs M, Van Hul E, Van Dyck P, De Schepper AM. Pseudotumoral soft tissue lesions of the hand and wrist: a pictorial review. Insights Imaging 2011;2:319-33.
8. Toprak H, Kiliç E, Serter A, Kocakoç E, Ozgocmen S. Ultrasound and Doppler US in evaluation of superficial soft-tissue lesions J Clin Imaging Sci 2014;4:12.
9. Teh J, Whiteley G. MRI of soft tissue masses of the hand and wrist. Br J Radiol 2007;80:47-63.
10. Morris CJ, Younan Y, Singer AD, Johnson G, Chamieh J, Datir A. Masses of the hand and wrist, a pictorial review. Clin Imaging 2016;40:650-65.
11. Khaled W, Drape JL. MRI of wrist and hand masses. Diagn Interv Imaging 2015;96:1238-46.
12. Ergun T, Lakadamyali H, Derincek A, Tarhan NC, Ozturk A. Magnetic resonance imaging in the visualization of benign tumors and tumor-like lesions of hand and wrist. Curr Probl Diagn Radiol 2010;39:1-16.
13. Beaman FD, Kransdorf MJ, Andrews TR, Murphey MD, Arcara LK, Keeling JH. Superficial soft-tissue masses: analysis, diagnosis, and differential considerations. Radiographics 2007;27:509-23.
14. Yildirim A, Dogan S, Okur A, Imamoglu H, Karabiyik O, Ozturk M. Eur J Gen Med 2016;13:37-44.
15. Kuliński S, Gutkowska O, Mizia S, Gosk J. Ganglions of the hand and wrist: Retrospective statistical analysis of 520 cases. Adv Clin Exp Med 2017;26:95-100.
16. Gold GE, Suh B, Sawyer-Glover A, Beaulieu C. Musculoskeletal MRI at 3.0 T: initial clinical experience. AJR Am J Roentgenol 2004;183:1479–86.
17. Jin W, Ryu KN, Kim GY, Kim HC, Lee JH, Park JS. Sonographic findings of ruptured epidermal inclusion cysts in superficial soft tissue: emphasis on shapes, pericystic changes, and pericystic vascularity. J Ultrasound Med 2008;27:171-6.
18. Hong SH, Chung HW, Choi JY, Koh YH, Choi JA, Kang HS. MRI findings of subcutaneous epidermal cysts: emphasis on the presence of rupture. AJR Am J Roentgenol 2006;186:961–6.
19. Murphey MD, Rhee JH, Lewis RB, Fanburg-Smith JC, Flemming DJ, Walker EA. Pigmented villonodular synovitis: radiologic- pathologic correlation. Radiographics 2008;28:1493-518.
20. Bassetti E, Candreva R, Santucci E. Giant cell tumor of the flexor tendon of the wrist: US and MRI evaluation. Case report. J Ultrasound 2011;14:37-9.
21. Moschilla G, Briedahl W. Sonography of the finger. AJR Am J Roentgenol 2002;178:1451-7.
22. Dinauer PA, Brixey CJ, Moncur JT, Fanburg-Smith JC, Murphey MD. Pathologic and MR imaging features of benign soft-tissue tumors in adults. Radiographics 2007;27:173-88.
23. Emori M, Takashima H, Iba K, Sonoda T, Oda T, Hasegawa T, et al. Differential diagnosis of fibroma of tendon sheath and giant cell tumor of tendon sheath in the finger using signal intensity on T2 magnetic resonance imaging. Acta Radiol 2021;62:1632-8.
24. Bhogesha S , Tripathy S, John JR, Chatterjee D. Angioleiomyoma: a rare diagnosis of a painful subcutaneous nodule in the hand. Plast Aesthet Res 2016;3:126-8.
25. Faruch Bilfeld M, Lapegue F, Brun C, Bakouche S, Bayol MA, Chivassa-Gandois H, et al. Tumors and pseudotumors of the hand: The role of imaging. Diagn Interv Imaging 2015;96:1293-306.
26. Wasa J, Nishida Y, Tsukushi S, Shido Y, Sugiura H, Nakashima H, et al. MRI features in the differentiation of malignant peripheral nerve sheath tumors and neurofibromas. AJR Am J Roentgenol 2010;194:1568-74.
27. Murphey MD, Smith WS, Smith SE, Kransdorf MJ, Temple HT. From the archives of the AFIP. Imaging of musculoskeletal neurogenic tumors: radiologic-pathologic correlation. Radiographics 1999;19:1253–80.
28. Lin J, Martel W. Cross-sectional imaging of peripheral nerve sheath tumors: characteristic signs on CT, MR imaging, and sonography. AJR Am J Roentgenol 2001;176:75-82.
29. Agarwal A, Prakash M, Gupta P, Tripathy S, Kakkar N, Srinivasan R, et al. Soft tissue masses of the hand: A radio-pathological correlation. Radiol Res Pract 2015;2015:752054.
30. Behr GG, Johnson C. Vascular anomalies: hemangiomas and beyond- -part 1, Fast-flow lesions. AJR Am J Roentgenol 2013;200:414-22.
31. Kollipara R, Dinneen L, Rentas KE, Saettele MR, Patel SA, Rivard DC, et al. Current classification and terminology of pediatric vascular anomalies. AJR Am J Roentgenol 2013;201:1124-35.
32. Olsen KI, Stacy GS, Montag A. Soft-tissue cavernous hemangioma. Radiographics 2004;24:849-54.
33. Vilanova JC, Barceló J, Smirniotopoulos JG, Pérez-Andrés R, Villalón M, Miró J, et al. Hemangioma from head to toe: MR imaging with pathologic correlation. Radiographics 2004;24:367-85.
34. O’Connor EE, Dixon LB, Peabody T, Stacy GS. MRI of cystic and soft-tissue masses of the shoulder joint. AJR Am J Roentgenol 2004;183:39–47.
35. Dalrymple NC, Hayes J, Bessinger VJ, Wolfe SW, Katz LD. MRI of multiple glomus tumors of the finger. Skleletal Radiol 1997;26:664-6.
36. Jin W, Kim GY, Park SY, Chun YS, Rhyu KH, Park JS, et al. The spectrum of vascularized superficial soft-tissue tumors on sonography with a histopathologic correlation: Part 2, malignant tumors and their look-alikes. AJR Am J Roentgenol 2010;195: 446-53.
37. Ahmed O, Moore DD, Stacy GS. Imaging diagnosis of solitary tumors of the phalanges and metacarpals of the hand. AJR Am J Roentgenol 2015;205:106-15.
38. Rottgers SA, Rao G, Wollstein R. Subungual extraosseous chondroma in a finger. Am J Orthop (Belle Mead NJ) 2008;37:E187-90.
39. Kransdorf MJ. Benign soft-tissue tumors in a large referral population: distribution of specific diagnoses by age, sex, and location. AJR Am J Roentgenol 1995;164:395-402.
40. Ayas MS, Okutan AE, Kerimoglu S. Giant thenar intramuscular lipoma; A literature review and redefinition of term giant lipoma. Hand Microsurg 2019;8: 44-50.
41. Gaskin CM, Helms CA. Lipomas, lipoma variants, and well- differentiated liposarcomas (atypical lipomas): results of MRI evaluations of 126 consecutive fatty masses. AJR Am J Roentgenol 2004;182:733-9.
42. Calleja M, Dimigen M, Saifuddin A. MRI of superficial soft tissue masses: analysis of features useful in distinguishing between benign and malignant lesions. Skeletal Radiol 2012;41:1517-27.

APA	YILMAZ T, Toprak H, atasoy b, Sönmez F, Aralaşmak A, Gurkan V (2022). Radiological Appearences of Benign Soft-tissue Tumors of the Hand and Wrist with Special Emphasis on MRI. , 247 - 260. 10.14235/bas.galenos.2021.6398
Chicago	YILMAZ Temel Fatih,Toprak Huseyin,atasoy bahar,Sönmez Fatma Cavide,Aralaşmak Ayşe,Gurkan Volkan Radiological Appearences of Benign Soft-tissue Tumors of the Hand and Wrist with Special Emphasis on MRI. (2022): 247 - 260. 10.14235/bas.galenos.2021.6398
MLA	YILMAZ Temel Fatih,Toprak Huseyin,atasoy bahar,Sönmez Fatma Cavide,Aralaşmak Ayşe,Gurkan Volkan Radiological Appearences of Benign Soft-tissue Tumors of the Hand and Wrist with Special Emphasis on MRI. , 2022, ss.247 - 260. 10.14235/bas.galenos.2021.6398
AMA	YILMAZ T,Toprak H,atasoy b,Sönmez F,Aralaşmak A,Gurkan V Radiological Appearences of Benign Soft-tissue Tumors of the Hand and Wrist with Special Emphasis on MRI. . 2022; 247 - 260. 10.14235/bas.galenos.2021.6398
Vancouver	YILMAZ T,Toprak H,atasoy b,Sönmez F,Aralaşmak A,Gurkan V Radiological Appearences of Benign Soft-tissue Tumors of the Hand and Wrist with Special Emphasis on MRI. . 2022; 247 - 260. 10.14235/bas.galenos.2021.6398
IEEE	YILMAZ T,Toprak H,atasoy b,Sönmez F,Aralaşmak A,Gurkan V "Radiological Appearences of Benign Soft-tissue Tumors of the Hand and Wrist with Special Emphasis on MRI." , ss.247 - 260, 2022. 10.14235/bas.galenos.2021.6398
ISNAD	YILMAZ, Temel Fatih vd. "Radiological Appearences of Benign Soft-tissue Tumors of the Hand and Wrist with Special Emphasis on MRI". (2022), 247-260. https://doi.org/10.14235/bas.galenos.2021.6398

APA	YILMAZ T, Toprak H, atasoy b, Sönmez F, Aralaşmak A, Gurkan V (2022). Radiological Appearences of Benign Soft-tissue Tumors of the Hand and Wrist with Special Emphasis on MRI. Bezmiâlem Science, 10(2), 247 - 260. 10.14235/bas.galenos.2021.6398
Chicago	YILMAZ Temel Fatih,Toprak Huseyin,atasoy bahar,Sönmez Fatma Cavide,Aralaşmak Ayşe,Gurkan Volkan Radiological Appearences of Benign Soft-tissue Tumors of the Hand and Wrist with Special Emphasis on MRI. Bezmiâlem Science 10, no.2 (2022): 247 - 260. 10.14235/bas.galenos.2021.6398
MLA	YILMAZ Temel Fatih,Toprak Huseyin,atasoy bahar,Sönmez Fatma Cavide,Aralaşmak Ayşe,Gurkan Volkan Radiological Appearences of Benign Soft-tissue Tumors of the Hand and Wrist with Special Emphasis on MRI. Bezmiâlem Science, vol.10, no.2, 2022, ss.247 - 260. 10.14235/bas.galenos.2021.6398
AMA	YILMAZ T,Toprak H,atasoy b,Sönmez F,Aralaşmak A,Gurkan V Radiological Appearences of Benign Soft-tissue Tumors of the Hand and Wrist with Special Emphasis on MRI. Bezmiâlem Science. 2022; 10(2): 247 - 260. 10.14235/bas.galenos.2021.6398
Vancouver	YILMAZ T,Toprak H,atasoy b,Sönmez F,Aralaşmak A,Gurkan V Radiological Appearences of Benign Soft-tissue Tumors of the Hand and Wrist with Special Emphasis on MRI. Bezmiâlem Science. 2022; 10(2): 247 - 260. 10.14235/bas.galenos.2021.6398
IEEE	YILMAZ T,Toprak H,atasoy b,Sönmez F,Aralaşmak A,Gurkan V "Radiological Appearences of Benign Soft-tissue Tumors of the Hand and Wrist with Special Emphasis on MRI." Bezmiâlem Science, 10, ss.247 - 260, 2022. 10.14235/bas.galenos.2021.6398
ISNAD	YILMAZ, Temel Fatih vd. "Radiological Appearences of Benign Soft-tissue Tumors of the Hand and Wrist with Special Emphasis on MRI". Bezmiâlem Science 10/2 (2022), 247-260. https://doi.org/10.14235/bas.galenos.2021.6398