A 33-Year-Old Woman With a Lump in Her Wrist

Angela Castillo, MD; Alfredo Cabello Buscema, MD; Francisco Valdiviezo, MD

Disclosures

May 10, 2018

Editor's Note:
The Case Challenge series includes difficult-to-diagnose conditions, some of which are not frequently encountered by most clinicians but are nonetheless important to accurately recognize. Test your diagnostic and treatment skills using the following patient scenario and corresponding questions. If you have a case that you would like to suggest for a future Case Challenge, please contact us.

Background

A 33-year-old woman presents to her primary care provider owing to a "lump" in the volar aspect of her right wrist. The lump started off as painless; however, over the course of 1 year, the patient progressively developed significant pain in the volar aspect of her right hand and wrist. The pain was associated with wrist paresthesias as well as decreased strength. She reports that she was limited at her job, where she works as a receptionist, and also has impaired routine functions of daily life.

She has no significant medical history. She does not report taking any medications. She does not describe any family history that is pertinent to her medical condition.

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