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Journal of Case Reports
Neurothekeoma Thumb
Reshmi Narayanan Raju, V Kunjambu Nambiar, Arun Kumar, John Thomas 
Department of General Surgery, Pariyaram Medical College, Kannur, Kerala - 670503, India.
Corresponding Author:
Dr. Reshmi Narayanan Raju
Email: rajureshmi5@gmail.com
Received: 25-FEB-2017 Accepted: 03-MAY-2017 Published Online: 10-JUN-2017
DOI: http://dx.doi.org/10.17659/01.2017.0058
Abstract
Background: Neurothekeomas are rare benign neoplasms typically occurring in young female patients. The usual presentations are small nodules in different anatomical sites commonly involving the face and the upper limb. Case Report: Here we describe a 52 year-old male who had a swelling in the left thumb for 2 years. Histology showed lobulated mass within the dermis containing spindle cells and abundant myxoid matrix. Immunohistochemistry was positive for S100. These findings were compatible with myxoid neurothekeoma. The lesion was completely excised and at the 6-month follow-up the patient was asymptomatic and had no recurrences. Conclusion: This case of neurothekeoma is an exception as the presentation involves thumb involvement which opined as myxoid neurothekeoma and no recurrence of tumor was reported on follow-up.
Keywords : Dermis, Upper Extremity, Thumb, Immunohistochemistry, Neurothekeoma.
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