J Hand Microsurg 2017; 09(01): 032-036
DOI: 10.1055/s-0037-1601397
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Digital Myopericytoma: A Case Report and Systematic Literature Review

Alexander Morzycki*
1   Division of Plastic Surgery, Dalhousie University, Halifax, Nova Scotia, Canada
,
Nadim Joukhadar*
1   Division of Plastic Surgery, Dalhousie University, Halifax, Nova Scotia, Canada
,
Amanda Murphy
1   Division of Plastic Surgery, Dalhousie University, Halifax, Nova Scotia, Canada
,
Jason Williams
1   Division of Plastic Surgery, Dalhousie University, Halifax, Nova Scotia, Canada
› Author Affiliations
Further Information

Publication History

18 January 2017

23 February 2017

Publication Date:
24 March 2017 (online)

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Abstract

A myopericytoma (MP) is an exceedingly rare perivascular tumor of unknown etiology. Given their potential for mimicry and malignancy, MP tumors pose a unique challenge for surgeons and may be overlooked on differential diagnosis. We present a case report of an otherwise healthy 33-year-old right-hand dominant male who presented to our outpatient clinic with a 2-month history of painless swelling and erythema of the pulp of his left index finger. Subsequent plain film X-ray showed near-complete bony destruction of his distal phalanx. Pathological evaluation of an incisional biopsy showed a benign variant of MP. The lesion was treated by excision with tumor shelling, and there was no evidence of recurrence 81 days postoperatively. A systematic literature review of the management and outcome of all known cases of hand and wrist MP is presented.

Note

A written informed consent was obtained from all patients for being included in this study.


* Both the authors contributed equally to the article.