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CC BY-NC-ND 4.0 · Semin Musculoskelet Radiol 2025; 29(06): 894-905
DOI: 10.1055/s-0045-1811637
Review Article

Soft Tissue Masses of the Hand

Autor*innen

  • Sabine Popp

    1   Department of Radiology and Nuclear Medicine: Medizinische Universitat Wien Universitatsklinik fur Radiologie und Nuklearmedizin, Medical University of Vienna, Vienna, Austria

  • Iris-Melanie Nöbauer-Huhmann

    1   Department of Radiology and Nuclear Medicine: Medizinische Universitat Wien Universitatsklinik fur Radiologie und Nuklearmedizin, Medical University of Vienna, Vienna, Austria

  • Suren Jengojan

    1   Department of Radiology and Nuclear Medicine: Medizinische Universitat Wien Universitatsklinik fur Radiologie und Nuklearmedizin, Medical University of Vienna, Vienna, Austria
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Abstract

Solid soft tissue masses of the hand represent a diverse group of lesions, most of which are benign. Accurate diagnosis is essential to guide management and avoid unnecessary or inappropriate surgical intervention. This review discusses solid soft tissue tumors of the hand in accordance with the 2020 World Health Organization Classification of Soft Tissue Tumors, emphasizing imaging features and clinical presentation, as well as the current European Society of Musculoskeletal Radiology guidelines from 2023 for primary imaging of soft tissue lesions. Characteristic imaging features help diagnose common entities such as lipomas, tenosynovial giant cell tumors, glomus tumors, and nerve sheath tumors. Various pseudolesions (e.g., traumatic neuromas) are also discussed. The importance of referral to specialized sarcoma centers for indeterminant or aggressive lesions is highlighted.

Keywords

soft tissue lesions - hand - ultrasound - magnetic resonance imaging


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Artikel online veröffentlicht:
03. Dezember 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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