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J Hand Surg Am. 2008 Feb;33(2):269-72. doi: 10.1016/j.jhsa.2007.10.019.

High-grade infiltrative myxofibrosarcoma in the forearm presenting as acute carpal tunnel syndrome.

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  • 1Department of Orthopaedics, Royal Gwent Hospital, Newport, United Kingdom.


Myxofibrosarcoma is one of the most common sarcomas in the extremities of elderly people and is characterized by a high frequency of local recurrence. We report a rare case of high-grade myxofibrosarcoma involving the forearm and presenting as acute carpal tunnel syndrome where absence of a discrete mass lesion and diffuse infiltrative nature precluded early recognition of tumor. To our knowledge, such a presentation with an extreme infiltrative growth pattern in the forearm has not been reported before.

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