%0 Journal Article
%T Intravascular lesions of the hand
%A Liron Pantanowitz
%A Wayne H Duke
%J Diagnostic Pathology
%D 2008
%I BioMed Central
%R 10.1186/1746-1596-3-24
%X A retrospective review of intravascular (arterial and venous) lesions involving the hand was conducted. Data regarding clinicopathologic findings were analyzed.We identified 10 patients with intravascular lesions of their hands including thromboemboli (n = 3), reactive intravascular conditions such as papillary endothelial hyperplasia or Masson's tumor (n = 2) and fasciitis (n = 1), as well as vascular neoplasms including pyogenic granuloma (n = 2) and angioleiomyoma (n = 2).Blood vessel injury and/or venous thrombosis may predispose to several intravascular lesions of the hand. Recognition of reactive entities from neoplastic conditions is important.The hand is a vascular region of the human body containing an extensive network of arteries and veins. These vessels are subject to potential trauma, including iatrogenic injury such as intravenous line placement. Also the hand is a common site for the impaction of emboli, as well as involvement by vascular tumors [1]. The distinction between reactive and neoplastic intravascular lesions of the hand is important. Occasionally, benign intravascular lesions of the hand can be mistaken for malignant neoplasms [2,3].To date, there have been only a few case reports dealing with intravascular lesions of the hand. Anand et al report a case of intravascular fasciitis in a pregnant woman that affected the hypothenar eminence of her hand associated with the ulnar artery [3]. Rare cases of intravenous pyogenic granuloma (PG) arising within a vein in the palm of a 58-year-old woman [4], and another inside an acquired arterio-venous malformation of the palm of a 44-year-old woman [5], have been reported. Previously, a case of intravascular papillary endothelial hyperplasia arising in the hand of a 23-year-old female fencer was reported [6], raising the possibility of a post-traumatic proliferative histogenesis. To the best of our knowledge, we were unable to identify any large published series dealing with intravascular lesions of t
%U http://www.diagnosticpathology.org/content/3/1/24