PMC5279105_01
It shows that the patient had a tumor in his right hand before the 1st partial surgical excision.
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F1
When he was 5 months old, the tumor was first partially excised in a hospital in Shanghai (Fig. 1).
It shows that the patient had the complete tumor excision and abdominal pedicle flap surgery at the age of 7.
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F2
At the age of 7, he underwent a complete tumor excision surgery and an abdominal pedicle flap surgery to heal his right hand in a hospital in Beijing (Fig. 2).
(A) The physical examination showed that there were multiple postoperative scars on the right forearm and a huge "tumor and skin flap complex" in his right hand. (B) Abdominal scars as the complications of the flap donor site.
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F3
The abdominal scars were the donor site complications caused by his previous surgeries (Fig. 3).
X-ray radiography demonstrated the swelling of soft tissue and the associated osteoporosis of the right hand.
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F4
X-ray imaging demonstrated the soft tissue swelling and the associated osteoporosis in his right hand (Fig. 4).
Pathological microphotographs show the chronic inflammation in the soft tissue (A-D), the intramuscular lipoangioma (A), the dilated, thin-walled, sponge-like hemangiomas (B), the sac-like hemangiomas (C), and some thick-walled veins (D) and (hematoxylin-eosin staining, original magnification, x100).
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F5
Pathological examination found the chronic inflammation in the soft tissue (Fig. 5A-D), the hyperpigmentation below the basal layer of the skin (data not shown), parakeratosis of the skin (data not shown), intramuscular lipoangioma (Fig. 5A), the dilated, thin-walled, sponge-like hemangiomas (Fig. 5B), the sac-like hemangiomas (Fig. 5C), and some thick-walled veins in the tumor (Fig. 5D).
No local tumor recurrence was seen on the residual forearm (A). A mass was found in the right supraclavicular fossa during a strenuous exercise (B). Magnetic resonance imaging (MRI) imaging showed a subclavian artery hematoma (C).
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F6
No evidence of local tumor recurrence was found at the 3-year follow-up visit (Fig. 6A). In the meanwhile, a mass was found in the right supraclavicular fossa during this strenuous exercise (Fig. 6B). A magnetic resonance imaging showed a mass in the subclavian artery (Fig. 6C).