EC Orthopaedics

Introduction: Hemangiomas represent the fourth most common tumor of the hand, after ganglions, giant cell tumors of the tendon sheath, and mucous cysts.

Case Report: Patient who consulted for a painful tumor in the thenar region of the right hand of 10 years of evolution. Complete tumor surgical resection was performed and said piece was sent for anatomopathological study.

Results: Taking into account the patient's history, the clinical presentation, the imaging studies, and the anatomopathological study, the findings are compatible with: "Cavernous hemangioma".

Discussion: Cavernous hemangiomas are blood-filled spaces surrounded by a characteristic flat endothelium. They are intramuscular and manifest as soft tissue masses. Surgical resection is the treatment of choice. The success of the surgery is not related to the size of the tumor, it depends above all on the nature of the hemangioma, if it is a well-circumscribed lesion or if it infiltrates neighboring tissues.

Conclusion: Cavernous hemangioma is benign in nature, but it can present as a serious condition that causes functional and morphological alterations, and pain of various characteristics due to the size they can reach, which requires surgical treatment.

Keywords: Hemangioma; Hand

1. Bogumill G., et al. “Tumors of the hand and upper limb”. Londres: Longman (1993): 192.
2. Devaney K., et al. “Skeletal-extraskeletal angiomatosis: A clinicopathological study of fourteen patients and nosologic considerations”. Journal of Bone and Joint Surgery American6 (1994): 878-891.
3. Mc Neil and Ray RD. “Hemangioma of the extremities: Review of 35 cases”. Clinical Orthopaedics 101 (1974): 154-166.
4. Mulliken JB and Glowacki J. “Hemangiomas and vascular malformation in infants and children: A classification based on endothelial characteristics”. Plastic and Reconstructive Surgery 69 (1982): 412-420.
5. Vasconez L., et al. “Skin tumors”. 4^th USA: Lge Medical Publications (1979): 997-1000.
6. Palmieri J. “Subcutaneous hemangiomas of the hand”. The Journal of Hand Surgery 8 (1983): 201-204.