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)

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.


 
  • References

  • 1 Granter SR, Badizadegan K, Fletcher CD. Myofibromatosis in adults, glomangiopericytoma, and myopericytoma: a spectrum of tumors showing perivascular myoid differentiation. Am J Surg Pathol 1998; 22 (5) 513-525
  • 2 Fletcher CDM, Unni KK, Mertens F, (Eds). World Health Organization Classification of Tumours: Pathology and Genetics of Tumours of Soft Tissue and Bone. Lyon: IARC Press; 2002
  • 3 McMenamin ME, Fletcher CDM. Malignant myopericytoma: expanding the spectrum of tumors with myopericytic differentiation. Histopathology 2002; 41 (5) 450-460
  • 4 Mentzel T, Dei Tos AP, Sapi Z, Kutzner H. Myopericytoma of skin and soft tissues: clinicopathologic and immunohistochemical study of 54 cases. Am J Surg Pathol 2006; 30 (1) 104-113
  • 5 Aung PP, Goldberg LJ, Mahalingam M, Bhawan J. Cutaneous Myopericytoma: A Report of 3 Cases and Review of the Literature. Dermatopathology (Basel) 2015; 2 (1) 9-14
  • 6 Laga AC, Tajirian AL, Islam MN , et al. Myopericytoma: report of two cases associated with trauma. J Cutan Pathol 2008; 35 (9) 866-870
  • 7 Lau PPL, Wong O-K, Lui PCW , et al. Myopericytoma in patients with AIDS: a new class of Epstein-Barr virus-associated tumor. Am J Surg Pathol 2009; 33 (11) 1666-1672
  • 8 Sadahira C, Yoneda K, Moriue T , et al. Periungual myopericytoma. J Am Acad Dermatol 2006; 54 (6) 1107-1108
  • 9 Orenay OM, Sarifakioglu E, Yildirim U. A perivascular tumour on the wrist; myopericytoma. J Eur Acad Dermatol Venereol 2016; 30 (4) 709-710
  • 10 Melamud K, Drapé J-L, Hayashi D, Roemer FW, Zentner J, Guermazi A. Diagnostic imaging of benign and malignant osseous tumors of the fingers. Radiographics 2014; 34 (7) 1954-1967
  • 11 Kara A, Keskinbora M, Kayaalp ME, Seker A, Erdil M, Bülbül M. An atypical presentation of myopericytoma in palmar arch and review of the literature. Case Rep Orthop 2014; 2014: 759329 DOI: 10.1155/2014/759329.
  • 12 Kasraeian S, Allison DC, Ahlmann ER, Fedenko AN, Menendez LR. A comparison of fine-needle aspiration, core biopsy, and surgical biopsy in the diagnosis of extremity soft tissue masses. Clin Orthop Relat Res 2010; 468 (11) 2992-3002
  • 13 Dray MS, McCarthy SW, Palmer AA , et al. Myopericytoma: a unifying term for a spectrum of tumours that show overlapping features with myofibroma. A review of 14 cases. J Clin Pathol 2006; 59 (1) 67-73
  • 14 Pisters PWT. Combined modality treatment of extremity soft tissue sarcomas. Ann Surg Oncol 1998; 5 (5) 464-472
  • 15 Megerle K, Sauerbier M. Reconstructive treatment of soft tissue sarcoma of the upper extremity. J Hand Surg Am 2011; 36 (7) 1241-1247
  • 16 Henderson MM, Neumeister MW, Bueno Jr RA. Hand tumors: I. skin and soft-tissue tumors of the hand. Plast Reconstr Surg 2014; 133 (2) 154e-164e
  • 17 Woollard AC, Southgate C, Blair JW. Intravascular Myopericytoma of the Superficial Palmer Arch. J Hand Surg Eur Vol 2007; 32 (4) 474-475
  • 18 Harreld KL, Li H, Li Z. Orthopaedic. radiology. pathology conference: Painful palmar mass in a 36-year-old woman. Clin Orthop Relat Res 2010; 468 (3) 917-920
  • 19 Díaz-Flores L, Gutiérrez R, García MP, Alvarez-Argüelles H, Díaz-Flores Jr L, Madrid JF. Myopericytoma and arterial intimal thickening: the relationship between myopericytes and myointimal cells. J Cutan Pathol 2011; 38 (11) 857-864
  • 20 Mahapatra P, Dunne J, Colville RJ. Digital artery intravascular myopericytoma--a rare cause of a painful finger. J Hand Surg Eur Vol 2015; 40 (7) 753-754
  • 21 Wagner ER, Shin AY. Myopericytoma of the hypothenar eminence: case report. Hand (NY) 2015; 10 (2) 349-352
  • 22 Michot A, Chaput B, Alet JM, Pelissier P. Arterial myopericytoma resulting in Guyon's canal syndrome. Hand Surg Rehabil 2016; 35 (3) 231-233