A Woman With a Warty Wrist

Authors:
Andrew Goodbred, MD
Associate Program Director, St. Luke’s Family Medicine Residency–Anderson, St Luke’s University Hospital Network, Easton, Pennsylvania

Satinderpal Kaur, MD
Resident, St. Luke’s Family Medicine Residency, St Luke’s University Hospital Network, Bethlehem, Pennsylvania

Citation:
Goodbred A, Kaur S. A woman with a warty wrist [published online December 2, 2019]. Consultant360.

A 47-year-old woman with no significant medical history presented with a mass over the volar aspect of her left wrist. The patient said that the mass had started growing 3 years ago, with a rapid increase in size over the past 6 months. She reported sharp pain and a pinching sensation at the site of the mass. She reported having occasional bleeding, and she had difficulty with wrist flexion and extension but was able to move her fingers. She denied numbness and tingling in her hand. She denied fever, weight loss, trauma, and exposure to any new chemical. The remainder of findings of a review of systems were unremarkable.

On physical examination, her vital signs were within normal limits except for a body mass index of 56 kg/m2. Examination of her left wrist showed a 4- to 5-cm, round, black-brown, pedunculated mass on the volar aspect of the left wrist (Figures). The mass was similar in size and shape to a ping-pong ball and was nontender. The rest of the physical examination findings were unremarkable.