Faculty of Medicine

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    The Role of Ultrasound in the Diagnosis of Soft Tissue Tumors
    (Georg Thieme Verlag KG, 2020-04)
    Aparisi Gómez, Maria Pilar
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    Errani, Costantino
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    Lalam, Radhesh
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    Fanti, Stefano
    The vast majority of soft tissue masses are benign. Benign lesions such as superficial lipomas and ganglia are by far the most common soft tissue masses and can be readily identified and excluded on ultrasound (US). US is an ideal triaging tool for superficial soft tissue masses. Compared with magnetic resonance imaging (MRI), High-resolution US is inexpensive, readily available, well tolerated, and safe. It also allows the radiologist to interact with the patient as a clinician. In this review, we describe and illustrate the lesions with typical (diagnostic) US features. When the appearances of the lesion are not typical as expected for a benign lesion, lesions are deep or large, or malignancy is suspected clinically, MRI and biopsy are needed. The management of suspicious soft tissue tumors has to be carefully planned by a multidisciplinary team involving specialized surgeons and pathologists at a tumor center.
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    Carpal tunnel syndrome caused by lipoma
    (Department of Anaesthesia and Reanimation, Faculty of Medicine, “Ss. Cyril and Methodius” University Skopje, R.N.Macedonia, 2021-03)
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    Jovanoski T
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    Georgieva G
    Carpal tunnel syndrome as a result of space occupying masses is very rare. Lipomas located in the carpal tunnel were found in small number of cases. In this case report, we present a case of a middle-aged woman with progressive muscle atrophy of the thenar and loss of sensation on the right hand innervated by the median nerve. Clinical examinations, electromyography and MRI were done, and a soft tissue mass, the most likely lipoma, was found in the carpal tunnel making pressure to the median nerve. Surgery was performed, decompression of the median nerve was provided, and results after two months showed complete improvement of the motor end sensory function of the hand.