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Case Reports
. 2022 May 24;15(5):e249828.
doi: 10.1136/bcr-2022-249828.

Sclerosing soft tissue haemangioma in an adult patient: an atypical form of a common entity causing the diagnostic dilemma

Affiliations
Case Reports

Sclerosing soft tissue haemangioma in an adult patient: an atypical form of a common entity causing the diagnostic dilemma

Kritika Sharma et al. BMJ Case Rep. .
No abstract available

Keywords: Musculoskeletal and joint disorders; Orthopaedics; Radiology.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Graphic computed image of the dorsum of the left hand demonstrates location of the lesion with respect to surrounding structures (the figure has been created by the authors).
Figure 2
Figure 2
Ultrasonography still images show (A) an elongated, lobulated, well-defined, heteroechoic lesion (20×10 mm in size) in the first web space involving the subfascial and subcutaneous planes (white arrow). (B) Colour Doppler examination of the lesion demonstrates internal colour flow signals that suggest internal vascularity. (C) T1-weighted MRI shows an isointense lesion in first web space of the left hand involving subfascial and subcutaneous planes (white arrow). (D) In PDFS image, the lesion is hyperintense (white arrow) and abutting the first dorsal interosseous muscle (the figures have been created by the authors). PDFS, proton density fat suppressed; USG, ultrasonography.
Figure 3
Figure 3
(A, B) Intraoperative and gross specimen images showing an almond-sized lesion excised from first web space of the hand. (C, D) Histopathology images with 10× and 40× magnifications show multiple dense whirls of hyalinised stroma obliterating the endothelium-lined proliferated vascular channels, suggestive of sclerosing variety of haemangioma (the figures have been created by the authors).

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