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Hemangioma of finger

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Nodular lesion in the palmar aspect of the distal phalanx of the little finger for past few months.

Patient Data

Age: 15 years
Gender: Male
ultrasound

Well-defined ovoid solid subcutaneous lesion measuring 19 x 15 x 8 mm is seen in the region of interest. The lesion abutts the distal phalangeal cortex, but it discontinuous from it, and is fairly uncompressible. Intralesional arterial and venous flow demonstrated, as well as a punctate calcification (showing a ring down artifact).
IMPRESSION : Vascular solid lesion, most likely a hemangioma.

 

Case Discussion

Excisional biopsy: hemangioma

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