PMC6441816_01
Photograph showing left small finger. Arrow indicates triggering point of painful sensation on pressure.
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F1
Besides the cutaneous tumors the patient sought advice for treatment of a painful region of her left small finger (Figure 1 (Fig. 1)).
Illustration of the left hand on magnetic resonance images (MRI). The small, rounded lesions recorded in T1- and T2-weighted images were considered to be disseminated neurofibromas.
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F2
T2-weighted images, up to 1.2 x 1.9 cm2 in size located on the palmar side of the left hand (Figure 2 (Fig. 2)). These small lesions mainly affected the metacarpal bones II and III.
Histological appearance of Vater-Pacini neuroma type B comprising a grape like cluster of VP corpuscles embedded in adipose and connective tissue. Note that neurofibroma is present. H&E stain, scale 500 microm.
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F3
Diagnosis of VP neuroma was made (Figure 3 (Fig. 3)).