i)To recognize the imaging features of benign soft tissue tumours.
ii)To provide a systematic approach for diagnosis of soft tissue tumours of hand and to differentiate benign from malignant tumours and also from tumour mimics.
Soft-tissue tumours of the hand are frequently detected on imaging studies in clinical practice.
The WHO pathological classification system for soft tissue tumours is so complex and is categorized into various categories depending on the cell of origin.1
The exclusion of malignancy is the initial and the most important step of the management algorithm in patients with soft tissue tumours of the hand .
Despite many studies that have been documented ,
no clear cut approach mantra (Sanskrit word meaning a "sacred message" ) is...
Imaging findings OR Procedure Details
Materials and Methods:107 patients,
who were referred for MRI hand with hand/wrist pain,
were included in the study from 2013 to 2015 and were followed up with histopathology reports.
A standard imaging protocol:
1.Multiplanar conventional T1-WI ,
2.Fat-suppressed fluid-sensitive (fat-suppressed T2WI ,
or STIR) and
Unenhanced and contrast-enhanced fat-suppressed T1 WI sequences.
Out of 107 cases,
histopathological diagnosis was established in 39 patients.
The histopathology and MRI of these 39 patients were analyzed retrospectively.
Results of MRI,
based on the criteria followed,
A systematic diagnostic algorithm for benign soft tissue lesions of the hand,
not only aids in characterization of the lesion, but also helps in differentiation of benign neoplasms from tumour-mimics and malignant lesions.
This differentiation of tumours and tumour-mimics obviates unnecessary surgical interventions and helps in deciding upon further management strategy.
1. WHO Classification of Tumours of Soft Tissue and Bone.
Fourth Edition - WHO - OMS - [Internet].
WHO Classification of Tumours of Soft Tissue and Bone.
Fourth Edition - WHO - OMS -.
Available from: http://apps.who.int/bookorders/anglais/detart1.jsp?codlan=1&codcol=70&codcch=4005
2. Baek HJ,
Subungual Tumors: Clinicopathologic Correlation with US and MR Imaging Findings.
3. Drapé JL,
Subungual glomus tumors: evaluation with MR imaging.Radiology.
Head of Department of Radiology & Imaging ,
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Department of Radiology & Imaging Sciences,
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