ANGIOKERATOMA OF THE WRIST
Abstract
A case of angiokeratoma was presented. The patient had a red-to-purple soft tissue mass about 1 cm size at volar aspect of the right wrist that gradually enlarged with time to be 9x8x7 cm. Multi-modality imagings were performed and revealed a large, fat-containing mass with multifocal small soft-tissue densities within the fat. The pre- sumptive diagnosis was hemangioma. Angiographic study revealed nearly complete occlusion of the interosseous (feeding) artery with collateral circulation filled its distal part subsequently. This pattern is not common in hemangioma. The histologic diagnosis was angiokeratoma which although being a benign vascular tumor of skin, need wide surgical excision margin to prevent local recurrence. Careful observation of uncommon imaging findings in the case presumptively diagnosed as hemangioma will help to raise the possibility of other entities.
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Imperial R, Helwig EB. Angiokeratoma: A clinicopathologic study. Arch Dermatol 1967; 95:166-175
McNeely TBD. Angiokeratoma of the clitoris. Arch Pathol Lab Med 1992;116: 880-881
Koh HK, Bhawan J. Tumors of the skin. In: Moschella SL, Hurley HJ, eds. Derma- tology. 3rd ed. Philadelphia, WB Saunders 1992,1781-1782
Hunt SJ, Santa Cruz DJ. Acquired benign and "borderline" vascular lesions. Dermatol Clin 1992;10:97-115
Eizaguirre X, Landa N, Raton JA, Diaz-Perez JL. Multiple angiokeratomas with zosteriform distribution in two sisters. Int J Dermatol 1994; 33:641-642
Lynch PJ, Kosanovich M. Angiokeratoma circumscriptum. Arch Dermatol 1967;96: 665-668
Resnick D, Kyriakos M, Greenway G. Tumors and tumor-like lesions of bone: Imaging and pathology of specific lesions. In: Resnick D, ed. Diagnosis of Bone and Joint Disorders. 3rd ed. Philadelphia, WB Saunders 1995,3821-3828
Levin DC, Gordon DH, McSweeney J. Arteriography of peripheral hemangiomas. Radiology 1976;121:625-628
Tegtmeyer CJ. Angiography of bones, joints, and soft tissues. In: Abrams HL, ed. Abrams Angiography: Vascular and Interventional Radiology. 3rd ed. Boston, Little, Brown and Company 1983,1937- 1977
Madewell JE, Sweet DE. Tumors and tumor-like lesions in or about joints. In: Resnick D, ed. Diagnosis of Bone and Joint Disorders. 3rd ed. Philadelphia, WB Saunders 1995,3950-3953
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