Zaidi Zuhair, Villarreal Acha Daniel, McCranie Amber, Kargel Jennifer
Plastic Surgery, University of Texas Southwestern Medical School, Dallas, USA.
Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, USA.
Cureus. 2025 Jun 14;17(6):e85999. doi: 10.7759/cureus.85999. eCollection 2025 Jun.
Soft tissue and nerve masses of the pediatric hand, though often benign, prompt significant concern due to their visible location, potential for functional impact, and diagnostic uncertainty. Compared to adults, children demonstrate a distinct spectrum of hand lesions, with differences in prevalence, presentation, and pathology. Given the unique considerations in pediatric evaluation, including developmental anatomy and the importance of a child-appropriate approach to physical examination, clinicians must be equipped with a clear understanding of these lesions to guide appropriate management. This review synthesizes current literature on the pathology, diagnosis, and treatment of common pediatric hand masses, including cysts, lipomas, giant cell tumors, vascular tumors, and peripheral nerve lesions. By consolidating available evidence and expert recommendations, this article aims to support accurate clinical assessment and optimize care for pediatric patients presenting with soft tissue and nerve masses.
小儿手部的软组织和神经肿块，尽管通常为良性，但因其明显的位置、对功能的潜在影响以及诊断的不确定性，引起了极大关注。与成人相比，儿童手部病变谱独特，在患病率、表现和病理方面存在差异。鉴于小儿评估中的独特考量因素，包括发育解剖学以及采用适合儿童的体格检查方法的重要性，临床医生必须清楚了解这些病变，以指导恰当的管理。本综述综合了关于小儿常见手部肿块的病理、诊断和治疗的当前文献，这些肿块包括囊肿、脂肪瘤、巨细胞瘤、血管肿瘤和周围神经病变。通过整合现有证据和专家建议，本文旨在支持对出现软组织和神经肿块的小儿患者进行准确的临床评估并优化护理。
