ePlasty: Vol. 18
A Slow-Growing Hand Mass
Erica Y. Xue, MS, Ronald Bogdasarian, MD, and Ramazi Datiashvili, MD

Division of Plastic and Reconstructive Surgery, Department of Surgery, Rutgers New Jersey Medical School, Newark


Correspondence: datiasro@njms.rutgers.edu
Keywords: hand mass, hand tumor, repetitive trauma, hand tumor epidemiology, hand mass diagnosis and management
Figure 1. Two weeks postoperatively.

DESCRIPTION

A 44-year-old right-handed male construction worker presented with a slow-growing, firm, soft-tissue mass at the palm between the middle and ring finger metacarpals heads. The mass was causing pain, morning stiffness, and interference with work.

QUESTIONS

1. What is the differential diagnosis of a slow-growing hand mass?

2. What is the role of radiographic imaging in diagnosing hand masses?

3. What is the role of occupation and repetitive trauma in the development of this lesion?

4. What anatomic structures should be avoided intraoperatively during excision of the mass?

DISCUSSION

Benign lesions can arise from all tissue types in the hand—skin, fat, muscle, nerve, vessel, and more. The most .......