Rare Hypothenar Myxoma Causing Ulnar Neuropathy: Histopathology and Treatment Pearls

Plastic and Reconstructive Surgery. Global Open
Peter K FirouzbakhtVenkat K Rao

Abstract

A myxoma is a neoplasm comprised of mesenchymal connective tissue. Myxomas of the upper extremity, and particularly of the hand, are rare. We present a case of a hypothenar myxoma causing ulnar neuropathy in a patient with a history of acute inflammatory demyelinating process. Treatment and management of myxoma may vary depending on whether the process is malignant or benign; thus, histologic diagnosis is critical to determining treatment. The purpose of this article is to review the pathophysiology and clinical features of myxomas, and to provide recommendations for evaluating and treating individuals with extremity masses of unclear clinical diagnosis.

References

Oct 1, 1996·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·M M al-Qattan
Jul 27, 2000·The Journal of Hand Surgery·J W FletcherJ Weinzweig
Sep 16, 2004·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·M M Al-QattanM N Rasool
Jul 4, 2012·Journal of Plastic Surgery and Hand Surgery·Serdar NasırNilgün Kapucuoğlu
Jul 23, 2013·Surgical Neurology International·Victoria OhlaEkkehard M Kasper
Dec 19, 2014·Journal of Medical Case Reports·Bahattin KemahKorhan Özkan

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Methods Mentioned

BETA
dissection
biopsy
amputation

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