Introduction:

Vascular anomalies in the hand represent a rare disease that needs an accurate diagnosis and prompt surgical treatment. One of the uncommon anomalies is the mixed vascular one. The diagnosis of these malformations is clinical but radiological studies such as magnetic resonance and Doppler ultrasound are mandatory. Once the diagnosis is made, surgery is the next and final step. Recurrence is rare when the entire tumor is resected.

Clinical Case Study:

A 35-year-old male presented with an increase in volume and pain of three months of evolution in the right hand. On physical examination, a mass in the righthand thenar region was observed, with well-defined edges of approximately 3 x 3 cm, not mobile, adhered to deep planes, painful to palpation, with hyperesthesias in the median nerve pathway. A magnetic resonance and a Doppler ultrasound were applied showing a well-circumscribed tumor. The patient underwent surgery and the whole vascular malformation was removed with no damage of neighbor structures. Pathology reported a venous and capillary hemangioma.

Conclusions:

Mixed vascular malformations in the hand are uncommon pathologies that require a correct diagnosis and a prompt surgical resolution. The most frequent symptoms associated with these tumors are: tenderness, pain and limitation in the movement of the hand. Surgical treatment is always recommended.