Soft-Tissue Tumors of the Hand-Imaging Features

Can Assoc Radiol J. 2020 May;71(2):161-173. doi: 10.1177/0846537119888356. Epub 2020 Jan 22.

Abstract

Imaging studies of the hands and fingers are common, and radiologists are generally comfortable with traumatic and degenerative conditions which arise frequently in daily practice. However, a variety of common and uncommon soft-tissue tumors also occur in the hand, the appropriate diagnosis of which can be a source of confusion for both clinicians and radiologists. These lesions often have overlapping imaging characteristics; however, a structured approach can help provide a focused differential diagnosis and impact further workup and management. We discuss several such tumors, categorizing them as cystic-appearing, noncystic masses along tendons and aponeuroses, adipocytic tumors, vascular lesions, and miscellaneous lesions with imaging features that can aid diagnosis.

Keywords: finger; hand; magnetic resonance imaging; soft-tissue; tumor.

Publication types

  • Review

MeSH terms

  • Arteriovenous Malformations / diagnostic imaging
  • Diagnosis, Differential
  • Epidermal Cyst / diagnostic imaging
  • Fasciitis / diagnostic imaging
  • Fibroma / diagnostic imaging*
  • Ganglion Cysts / diagnostic imaging
  • Giant Cell Tumor of Tendon Sheath / diagnostic imaging*
  • Glomus Tumor / diagnostic imaging*
  • Hand
  • Humans
  • Lipoma / diagnostic imaging*
  • Magnetic Resonance Imaging
  • Neurilemmoma / diagnostic imaging*
  • Neurofibroma / diagnostic imaging*
  • Radiography
  • Sarcoma, Synovial / diagnostic imaging*
  • Soft Tissue Neoplasms / diagnostic imaging*
  • Synovial Cyst / diagnostic imaging
  • Ultrasonography