Artikel
Rare digital Pacinian corpuscle neuroma: case report and review of the literature
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Autoren
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Isabella Fassola
- Orthopädische-, Unfall- und Wiederherstellungschirurgie, CHARITÉ - Campus Benjamin Franklin, Berlin, Germany
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Lena Wenzke
- Orthopädische-, Unfall- und Wiederherstellungschirurgie, CHARITÉ - Campus Benjamin Franklin, Berlin, Germany
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Frederick Klauschen
- Institut für Pathologie, Charité - Universitätsmedizin Berlin, Berlin, Germany
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Wolfgang Ertel
- Orthopädische-, Unfall- und Wiederherstellungschirurgie, CHARITÉ - Campus Benjamin Franklin, Berlin, Germany
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Senat Krasnici
- Orthopädische-, Unfall- und Wiederherstellungschirurgie, CHARITÉ - Campus Benjamin Franklin, Berlin, Germany
| Veröffentlicht: | 10. Oktober 2018 |
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Gliederung
Text
Background: Pacinian corpuscle neuromas are rare entities. Although previous studies focused on the clinical and histological findings, only a few other reports describe the imaging (X-ray and MRI) appearances of Pacinian neuroma of the hand.
Objective: In this article, the authors present a case of a painful Pacinian corpuscle neuroma in the thumb. Abnormalities were seen both on X-ray and MRI. The patient had complete relief of the symptomatology after surgical excision and no recurrence. The authors discuss the epidemiological, clinical and radiological features of these lesions and the importance of the imaging in the differential diagnosis between these tumors and other tumors responsible of unclear symptomatology in the hands and fingers, such as Pacinian neurofibromas.
Results: Plain radiographic examination and high-resolution magnetic resonance imaging represent an excellent non-invasive tool for the evaluation of Pacinian corpuscle neuromas. The tumors and their exact location are identified, together with the remodeling of the underlying bone.
Conclusion: Both imaging examinations should be routinely recommended for preoperative assessment of these tumors, to support the clinician in the differential diagnosis between Pacinian corpuscle neuromas and Pacinian corpuscle neurofibromas as well as with other painful tumors of the hands.
