Carpal Tunnel Syndrome Research Today is a free monthly online journal that collates and summarizes the latest research about Carpal Tunnel Syndrome, including details on symptoms, causes, trauma, diagnosis, physiotherapy.

Epithelioid sarcoma of the median nerve mimicking a peripheral nerve sheath tumour.

Harish S, Saifuddin A, Fajinmi M

Departments of Radiology, The Royal National Orthopaedic Hospitalm Stanmore, Middlesex, UK. sriniharish@gmail.com

We describe a case of epithelioid sarcoma of the median nerve in a 57-year-old woman presenting with symptoms and signs of carpal tunnel syndrome for 2 years. The clinical examination was suggestive of a wrist ganglion compressing the median nerve. Magnetic resonance imaging (MRI) showed a 5 cm x 3 cm mass involving the median nerve in the carpal tunnel and appearances mimicked a benign peripheral nerve sheath tumour. This report illustrates a rare tumour presenting in a rare location and emphasizes the atypical clinical and MRI features that should alert the radiologist to the possibility of a rare sarcoma mimicking a benign peripheral nerve sheath tumour.

Published 12 January 2007 in Australas Radiol, 51(1): 71-4.
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