{"id":2085,"date":"2025-12-31T08:21:31","date_gmt":"2025-12-31T08:21:31","guid":{"rendered":"https:\/\/serdarnasir.com\/?page_id=2085"},"modified":"2026-10-20T14:46:18","modified_gmt":"2026-10-20T14:46:18","slug":"nerve-and-tendon-origin-masses","status":"publish","type":"page","link":"https:\/\/serdarnasir.com\/en\/hand-surgery\/nerve-and-tendon-origin-masses\/","title":{"rendered":"Nerve and Tendon-Origin Masses"},"content":{"rendered":"\n\t<section class=\"section\" id=\"section_562058771\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n  <div id=\"page-header-1584260197\" class=\"page-header-wrapper\">\n  <div class=\"page-title dark simple-title\">\n\n    \n    <div class=\"page-title-inner container align-center text-center flex-row-col medium-flex-wrap\" >\n              <div class=\"title-wrapper is-xlarge flex-col\">\n          <h1 class=\"entry-title mb-0\">\n            Nerve and Tendon-Origin Masses in Ankara, Turkey          <\/h1>\n        <\/div>\n                    <div class=\"title-content flex-col\">\n        <div class=\"title-breadcrumbs pb-half pt-half\"><\/div>      <\/div>\n    <\/div>\n\n     \n<style>\n#page-header-1584260197 .page-title-inner {\n  min-height: 150px;\n}\n#page-header-1584260197 .title-overlay {\n  background-color: rgba(255, 255, 255, 0);\n}\n<\/style>\n  <\/div>\n    <\/div>\n  \n\t\t<\/div>\n\n\t\t\n<style>\n#section_562058771 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n  background-color: #213360;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_595211165\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-1656812243\">\n\n\t<div id=\"col-470496364\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p>Nerve- and tendon-origin masses are usually benign and slow-growing formations that develop from nerve or tendon structures in the hand and wrist region. One of the most common is schwannoma, a nerve sheath tumor. These masses may cause pain, numbness, or weakness.<\/p>\n<p>Among tendon-origin masses, the giant cell tumor of the tendon sheath stands out. This tumor is commonly seen in the fingers and grows slowly. Nerve-origin lesions can affect nerve function and lead to motor or sensory symptoms. Early diagnosis prevents loss of function.<\/p>\n<p>In the diagnostic process, physical examination, ultrasound, and magnetic resonance imaging (MRI) are important. Especially in masses related to nerves, a neurological examination should be performed and electrophysiological tests should be used if necessary. A biopsy may be required to confirm the diagnosis.<\/p>\n<p>Treatment is usually surgical, and care is taken to preserve nerve or tendon structures. Microscopic dissection techniques are used during the operation. Postoperative physiotherapy is important for full functional recovery. Although the risk of recurrence is low, follow-up is recommended.<\/p>\n<table>\n<tbody>\n<tr>\n<td>Things You Should Know<\/td>\n<td>Information<\/td>\n<\/tr>\n<tr>\n<td>Definition<\/td>\n<td>Masses originating from nerve or tendon structures are generally benign lesions that present with symptoms such as swelling, pain, or loss of function in the hand and wrist region.<\/td>\n<\/tr>\n<tr>\n<td>Frequency<\/td>\n<td>They have an important place among soft tissue masses in the hand and upper extremity. Lesions originating from tendon sheaths and peripheral nerves are particularly common.<\/td>\n<\/tr>\n<tr>\n<td>Tendon-Origin Masses<\/td>\n<td>Giant cell tumor (tendon sheath tumor): Develops from the tendon sheath, grows slowly. Fibroma: Firm, mobile, usually painless mass.<\/td>\n<\/tr>\n<tr>\n<td>Nerve-Origin Masses<\/td>\n<td>Schwannoma (neurilemmoma): Benign tumor originating from the outer sheath of the nerve. Neurofibroma: May involve the entire nerve and can be multiple. May be associated with neurofibromatosis.<\/td>\n<\/tr>\n<tr>\n<td>Symptoms<\/td>\n<td>Palpable mass, numbness in fingers, tingling, pain, decreased muscle strength, a catching sensation in tendons, or limited movement.<\/td>\n<\/tr>\n<tr>\n<td>Diagnostic Methods<\/td>\n<td>Physical examination, ultrasonography (for soft tissue differentiation), MRI (especially for differential diagnosis and defining borders in nerve masses). Electromyography (EMG) provides information about nerve conduction.<\/td>\n<\/tr>\n<tr>\n<td>Differential Diagnosis<\/td>\n<td>Ganglion cyst, lipoma, glomus tumor, sarcoma, synovial cyst, hemangioma.<\/td>\n<\/tr>\n<tr>\n<td>Features of Giant Cell Tumor<\/td>\n<td>It is the most common tendon sheath-origin tumor. It is frequently seen in the fingers and the dorsum of the hand. The recurrence rate is high.<\/td>\n<\/tr>\n<tr>\n<td>Features of Schwannoma<\/td>\n<td>It is usually a solitary, slow-growing, mobile, and painless mass. The Tinel sign (a tingling\/electric sensation radiating along the related nerve area when the mass is tapped) is common.<\/td>\n<\/tr>\n<tr>\n<td>Treatment (Conservative)<\/td>\n<td>Small lesions that do not cause symptoms can be monitored.<\/td>\n<\/tr>\n<tr>\n<td>Surgical Treatment<\/td>\n<td>Surgical excision is recommended for symptomatic, growing, or function-impairing masses. In nerve-origin masses, careful dissection under a microscope is required.<\/td>\n<\/tr>\n<tr>\n<td>Complications<\/td>\n<td>Recurrence (especially in giant cell tumors), nerve injury (paresthesia or loss of muscle strength), tendon injury, wound healing problems.<\/td>\n<\/tr>\n<tr>\n<td>Functional Outcomes<\/td>\n<td>Generally good after surgery. As long as the nerve is preserved, the risk of loss of function is low.<\/td>\n<\/tr>\n<tr>\n<td>Long-Term Follow-up<\/td>\n<td>Regular clinical and imaging follow-up is recommended for tumors with recurrence risk. Especially in patients with neurofibromatosis, the development of multiple masses should be monitored.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-470496364 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_595211165 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_2122705596\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-1840096037\">\r\n\r\n\n\t<div id=\"col-167557016\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner dark\" style=\"background-color:#213360;\" >\n\t\t\t\n\t\t\t\r\n\r\n<div class=\"row align-middle\"  id=\"row-2084389567\">\r\n\r\n\n\t<div id=\"col-1591738729\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div class=\"img has-hover border-gorsel x md-x lg-x y md-y lg-y\" id=\"image_425579812\">\n\t\t\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"533\" height=\"800\" src=\"https:\/\/serdarnasir.com\/wp-content\/uploads\/2026\/01\/DSC08566-1-533x800.webp\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/serdarnasir.com\/wp-content\/uploads\/2026\/01\/DSC08566-1-533x800.webp 533w, https:\/\/serdarnasir.com\/wp-content\/uploads\/2026\/01\/DSC08566-1-267x400.webp 267w, https:\/\/serdarnasir.com\/wp-content\/uploads\/2026\/01\/DSC08566-1.webp 720w\" sizes=\"(max-width: 533px) 100vw, 533px\" \/>\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\n<style>\n#image_425579812 {\n  width: 100%;\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1591738729 > .col-inner {\n  margin: 0px 0px -10px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\n\t<div id=\"col-1126840822\" class=\"col medium-8 small-12 large-8\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-1722112106\" class=\"text\">\n\t\t\r\n\r\n<div><strong><span style=\"font-size: 110%;\">Prof. Dr. Serdar Nas\u0131r<\/span><\/strong><strong><span style=\"font-size: 63%;\"><br \/>Specialist in Plastic, Reconstructive and Aesthetic Surgery, Hand Surgery<\/span><\/strong><\/div>\r\n\r\n\t\t\n<style>\n#text-1722112106 {\n  font-size: 1.55rem;\n}\n@media (min-width:550px) {\n  #text-1722112106 {\n    font-size: 1.85rem;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n<p>He completed his medical education at Ankara University Faculty of Medicine in 1996 and his specialty training between 1996\u20132002 at Hacettepe University Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery.<\/p>\r\n<p>Between 2002\u20132009, he worked at S\u00fcleyman Demirel University Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery.<\/p>\r\n<p>Since 2009, he has been working at Hacettepe University Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery. He received the title of Associate Professor in 2011. In 2019, Dr. Nas\u0131r became a Professor and continues to work as a faculty member in this position.<\/p>\r\n<a href=\"\/en\/about-me\/\" class=\"button white\" style=\"border-radius:5px;\">\n\t\t<span>View More<\/span>\n\t<\/a>\n\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1126840822 > .col-inner {\n  margin: 0px 0px -10px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-167557016 > .col-inner {\n  padding: 30px 25px 0px 25px;\n  margin: 0px 0px -30px 0px;\n  border-radius: 30px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_2122705596 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1777486204\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-1058711638\">\n\n\t<div id=\"col-384286419\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #ffffff;color:#ffffff\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #ffffff;color:#ffffff\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/nerve-and-tendon-origin-masses\/#What_Are_Nerve-_and_Tendon-Origin_Masses\" >What Are Nerve- and Tendon-Origin Masses?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/nerve-and-tendon-origin-masses\/#Why_do_masses_seen_in_the_extremities_fall_within_the_specialty_of_plastic_surgery\" >Why do masses seen in the extremities fall within the specialty of plastic surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/nerve-and-tendon-origin-masses\/#How_are_nerve_sheath_tumors_distinguished_and_what_types_are_there\" >How are nerve sheath tumors distinguished and what types are there?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/nerve-and-tendon-origin-masses\/#How_can_malignant_masses_and_sarcoma_risk_be_recognized\" >How can malignant masses and sarcoma risk be recognized?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/nerve-and-tendon-origin-masses\/#Could_a_burning_sensation_on_the_sole_of_the_foot_be_a_symptom_of_Mortons_Neuroma\" >Could a burning sensation on the sole of the foot be a symptom of Morton\u2019s Neuroma?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/nerve-and-tendon-origin-masses\/#Are_swellings_seen_in_the_fingers_giant_cell_tumors\" >Are swellings seen in the fingers giant cell tumors?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/nerve-and-tendon-origin-masses\/#Does_the_book-hitting_method_work_for_wrist_cysts\" >Does the book-hitting method work for wrist cysts?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/nerve-and-tendon-origin-masses\/#Why_are_MRI_and_EMG_necessary_in_the_diagnostic_process\" >Why are MRI and EMG necessary in the diagnostic process?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/nerve-and-tendon-origin-masses\/#How_are_nerve_repair_and_microsurgical_techniques_applied\" >How are nerve repair and microsurgical techniques applied?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/nerve-and-tendon-origin-masses\/#How_are_surgical_scars_and_aesthetic_outcomes_improved\" >How are surgical scars and aesthetic outcomes improved?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/nerve-and-tendon-origin-masses\/#Frequently_Asked_Questions\" >Frequently Asked Questions<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"What_Are_Nerve-_and_Tendon-Origin_Masses\"><\/span>What Are Nerve- and Tendon-Origin Masses?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Nerve- and tendon-origin masses are generally benign soft tissue formations that develop from peripheral nerves or tendon tissues. The most common are schwannoma, neurofibroma, and giant cell tumors of the tendon sheath. These masses can cause pain, numbness, or limited movement. Diagnosis is made through physical examination and magnetic resonance imaging, and definitive diagnosis is often determined by pathological examination. Treatment is planned according to the type of mass and symptoms.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Why_do_masses_seen_in_the_extremities_fall_within_the_specialty_of_plastic_surgery\"><\/span>Why do masses seen in the extremities fall within the specialty of plastic surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The distal parts of our body, namely the extremities, are an incredible engineering marvel. In a very narrow space, just beneath the skin, bones, the tendons that move them, the nerves that carry the command, and the vessels that supply the area intertwine. A millimetric error here can cause loss of sensation at the fingertip or inability to perform a movement.<\/p>\n<p>Plastic surgery is fundamentally built on the principle of &#8220;respect for tissue.&#8221; When approaching a mass, we evaluate not only that mass but also the surrounding healthy tissue, the vascular network, and the nerve conduction pathways as a whole. Especially in conditions such as nerve sheath tumors or tendon adhesions, it is necessary to work under microscopic magnification. This precision both preserves function and speeds up the healing process. In addition, since our extremities are the limbs most visible in social life, hiding incisions along the natural skin lines and using aesthetic suturing techniques make the role of plastic surgery in this field indispensable.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_are_nerve_sheath_tumors_distinguished_and_what_types_are_there\"><\/span>How are nerve sheath tumors distinguished and what types are there?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Peripheral nerves are like electrical cables that carry commands from the brain to the muscles and transmit sensations from the skin to the brain. Around these cables there are protective sheaths and supporting cells. Nerve-origin masses usually arise from these supporting structures. Our patients generally present with swelling in their hands or arms that creates an electric shock sensation when pressed or causes numbness. The overwhelming majority of these masses are benign, but their biological behavior differs.<\/p>\n<p>The benign tumor types we most commonly encounter in this group are:<\/p>\n<ul>\n<li>Schwannoma<\/li>\n<li>Neurofibroma<\/li>\n<\/ul>\n<p>Schwannomas originate from nerve sheath cells (Schwann cells) and usually grow within a capsule attached to but separate from the nerve itself. You can think of this like the insulating plastic part of an electrical cable swelling without touching the copper wires inside. This structural feature is a major advantage surgically, because with microscopic techniques the tumor can be \u201cpeeled out\u201d without damaging the nerve fibers (that is, the copper wires).<\/p>\n<p>In neurofibromas, the situation is somewhat more complex. Here, the tumor has entered between the nerve fibers and become integrated with them. In other words, the wires inside the cable and the insulating material are mixed together. In this case, removing the tumor may sometimes require sacrificing a portion of the nerve fibers. This distinction directly affects preoperative planning and the discussion to be held with the patient.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_can_malignant_masses_and_sarcoma_risk_be_recognized\"><\/span>How can malignant masses and sarcoma risk be recognized?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Although most extremity masses are benign, there are also tumors with malignant potential. Malignant Peripheral Nerve Sheath Tumors (MPNST) or soft tissue sarcomas, although rare, can have an aggressive course. Therefore, every mass should be taken seriously and examined in detail. The appearance or palpation of a mass alone does not tell us everything, but some \u201cred flags\u201d prompt us to be more careful.<\/p>\n<p>Some findings that suggest a possibility of malignancy or require further evaluation are:<\/p>\n<ul>\n<li>Rapid growth<\/li>\n<li>Night pain<\/li>\n<li>Firm consistency<\/li>\n<li>Fixation\/adhesion<\/li>\n<li>Large size<\/li>\n<li>Skin changes<\/li>\n<\/ul>\n<p>Especially for masses larger than 5 centimeters, deeply located (beneath the muscles), and showing progressive enlargement, advanced evaluation with MRI should be performed and a biopsy should be planned. Benign masses are usually mobile and slide under the skin; however, malignant masses tend to feel more fixed and firm because they adhere to surrounding tissues.<\/p>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-384286419 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1777486204 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1821113264\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-9407803\">\r\n\r\n\n\t<div id=\"col-368563797\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:rgb(33, 51, 96);border-radius:10px;border-width:2px 2px 2px 2px;\">\n\t<\/div>\n\t\t\t\r\n\r\n<div class=\"row align-middle\"  id=\"row-916588199\">\r\n\r\n\n\t<div id=\"col-1847803411\" class=\"col medium-8 small-12 large-8\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-1819601813\" class=\"text\">\n\t\t\r\n\r\n<div><strong>Contact us to get information about treatments and create an appointment!<\/strong><\/div>\r\n\t\t\n<style>\n#text-1819601813 {\n  font-size: 1.25rem;\n  text-align: center;\n  color: #213360;\n}\n#text-1819601813 > * {\n  color: #213360;\n}\n@media (min-width:550px) {\n  #text-1819601813 {\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\r\n\n\t<div id=\"col-1791425516\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner text-right\"  >\n\t\t\t\n\t\t\t\r\n\r\n<a href=\"https:\/\/api.whatsapp.com\/send\/?phone=905330852159\" class=\"button success\" style=\"border-radius:5px;\" target=\"_blank\" rel=\"noopener\">\n\t\t<span>Contact via WhatsApp<\/span>\n\t<i class=\"icon-whatsapp\" aria-hidden=\"true\"><\/i><\/a>\n\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-368563797 > .col-inner {\n  padding: 30px 15px 0px 15px;\n  margin: 0px 0px -30px 0px;\n}\n@media (min-width:550px) {\n  #col-368563797 > .col-inner {\n    padding: 30px 20px 0px 20px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1821113264 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_561574942\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-1547889626\">\n\n\t<div id=\"col-107229849\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<h2><span class=\"ez-toc-section\" id=\"Could_a_burning_sensation_on_the_sole_of_the_foot_be_a_symptom_of_Mortons_Neuroma\"><\/span>Could a burning sensation on the sole of the foot be a symptom of Morton\u2019s Neuroma?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Foot health is an element that directly affects our overall quality of life. Especially common in female patients, pains in the forefoot while walking\u2014such as the sensation of stepping on a pebble or electric shock-like pain radiating to the toes\u2014may be a sign of Morton\u2019s Neuroma. Although it includes the word \u201cneuroma\u201d in its name, this is not actually a true tumor; it is thickening and degeneration of the nerve due to chronic compression.<\/p>\n<p>This condition is usually seen in the nerve between the 3rd and 4th metatarsal bones. Wearing narrow-toed and high-heeled shoes for a long time compresses the nerve in this region between bones and ligaments. Over time, the nerve tissue thickens in response to this pressure and forms a scar tissue around it.<\/p>\n<p>If non-surgical methods (insoles, shoe changes, injections) do not provide benefit in patients diagnosed with Morton\u2019s neuroma, surgical treatment comes to the forefront. In plastic surgery practice, the approach to this region is generally made from the top of the foot (dorsal approach). The skin of the sole is very special and, since it bears load, a scar formed there may cause pain while walking later on. Therefore, by making the incision from the top of the foot, we both reach the nerve safely and enable the patient to bear weight earlier and painlessly after surgery.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Are_swellings_seen_in_the_fingers_giant_cell_tumors\"><\/span>Are swellings seen in the fingers giant cell tumors?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>One of the most common soft tissue masses we see in the hands and fingers after simple cysts is Tenosynovial Giant Cell Tumors. Although the name sounds frightening (\u201cgiant cell\u201d merely describes the cell structure seen under the microscope), these masses are benign. However, being \u201cbenign\u201d does not mean they are harmless; they are quite stubborn and prone to recurrence:<\/p>\n<p>They usually appear as slowly growing, firm, painless lumps on the palmar side or sides of the fingers. When opened during surgery, a yellow-brown, multi-lobulated structure resembling a small bunch of grapes is encountered. These tumors originate from tendon sheaths or joint lining.<\/p>\n<p>The most critical point in surgical treatment is cleaning the tumor without damaging the tunnel systems called \u201cpulleys\u201d that attach tendons to bones. If the tumor is not completely removed, the risk of recurrence is high. However, if these tunnels that provide the finger\u2019s movement mechanism are damaged during cleaning, finger movements may be impaired. Achieving this balance requires meticulous dissection under magnification (with loupes or a microscope).<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Does_the_book-hitting_method_work_for_wrist_cysts\"><\/span>Does the book-hitting method work for wrist cysts?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Ganglion cysts are the most common masses seen around the wrist. Although they are popularly called \u201cnerve cysts,\u201d they actually have no relation to nerves. They are bubbles herniating from the joint capsule or tendon sheath, filled with joint fluid of a jelly-like consistency. They usually occur due to strain or structural weakness.<\/p>\n<p>A very wrong belief passed down over time is to burst these cysts by hitting them with a heavy object (it was called a \u201cBible cyst\u201d because thick encyclopedias or the Bible were used in the past). This method is definitely not recommended and is quite harmful. Bursting the cyst uncontrollably provides only temporary flattening. Since the sac (cyst wall) remains inside and the root (stalk) is not repaired, the cyst refills in a short time. Moreover, this hard blow can seriously damage the delicate bones, vessels, and nerves in the wrist.<\/p>\n<p>The situations considered when deciding on surgical treatment for ganglion cysts are:<\/p>\n<ul>\n<li>Severe pain<\/li>\n<li>Restricted movement<\/li>\n<li>Aesthetic concern<\/li>\n<li>Rapid growth<\/li>\n<li>Weakness in the hand<\/li>\n<\/ul>\n<p>In surgical treatment, the aim is not only to remove the visible balloon but to find the stalk that connects that balloon to the joint and ligate it at its root. Otherwise, more than half of cysts that are only aspirated with a needle or insufficiently removed will recur.<\/p>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-107229849 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_561574942 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_109024706\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-582039047\">\r\n\r\n\n\t<div id=\"col-1101406549\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:rgb(33, 51, 96);border-radius:10px;border-width:2px 2px 2px 2px;\">\n\t<\/div>\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-91347979\">\r\n\r\n\n\t<div id=\"col-1573951194\" class=\"col medium-7 small-12 large-7\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-3472909815\" class=\"text\">\n\t\t\r\n\r\n<p><strong>Contact Us!<\/strong><\/p>\r\n\t\t\n<style>\n#text-3472909815 {\n  font-size: 2rem;\n  text-align: center;\n  color: #1f437b;\n}\n#text-3472909815 > * {\n  color: #1f437b;\n}\n@media (min-width:550px) {\n  #text-3472909815 {\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\t<div id=\"text-1351638693\" class=\"text\">\n\t\t\r\n\r\n<div>Contact us to get information about treatments and create an appointment!<\/div>\r\n\t\t\n<style>\n#text-1351638693 {\n  font-size: 1.25rem;\n  text-align: center;\n  color: #2d304e;\n}\n#text-1351638693 > * {\n  color: #2d304e;\n}\n@media (min-width:550px) {\n  #text-1351638693 {\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1573951194 > .col-inner {\n  margin: 0px 0px 0px 0px;\n}\n@media (min-width:550px) {\n  #col-1573951194 > .col-inner {\n    margin: 0px 0px -30px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\n\t<div id=\"col-407085415\" class=\"col medium-5 small-12 large-5\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1791-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"1791\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/2085#wpcf7-f1791-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"1791\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.2.3\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1791-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"randevu-form\">\n\t<div class=\"form-row\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-340\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Full Name\" value=\"\" type=\"text\" name=\"text-340\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tel-10\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Phone\" value=\"\" type=\"tel\" name=\"tel-10\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-full\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-342\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Briefly write the subject\" value=\"\" type=\"text\" name=\"text-342\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<p><button type=\"submit\">Create Appointment<\/button>\n\t<\/p>\n<\/div><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"191\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-407085415 > .col-inner {\n  margin: 0px 0px -20px 0px;\n}\n@media (min-width:550px) {\n  #col-407085415 > .col-inner {\n    margin: 0px 0px -30px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1101406549 > .col-inner {\n  padding: 30px 15px 0px 15px;\n  margin: 0px 0px -30px 0px;\n}\n@media (min-width:550px) {\n  #col-1101406549 > .col-inner {\n    padding: 30px 20px 0px 20px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_109024706 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1421695546\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-1242029624\">\n\n\t<div id=\"col-2067618576\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<h2><span class=\"ez-toc-section\" id=\"Why_are_MRI_and_EMG_necessary_in_the_diagnostic_process\"><\/span>Why are MRI and EMG necessary in the diagnostic process?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>For a surgeon, surprises are usually undesirable. Therefore, before surgery we want to know \u201cwhat we will encounter inside\u201d down to the finest detail. Although physical examination in hand and extremity masses gives us an idea about the mass\u2019s firmness, mobility, and location, we need technological eyes for the status of deep structures:<\/p>\n<p>Magnetic Resonance Imaging (MRI) is the gold standard for soft tissue tumors. It shows us the exact dimensions, borders, and whether the mass is cystic or solid. More importantly, it maps the mass\u2019s relationship with the main vascular and nerve bundles. In this way, the surgeon knows which vital structure is in which layer before making an incision.<\/p>\n<p>Electromyography (EMG) is a test that measures the electrical conduction of nerves. Especially in nerve-origin tumors or in situations where a mass compresses a nerve (entrapment neuropathies), it enables us to understand how much the nerve has been damaged. Sometimes, even if the mass is small, the pressure on the nerve can be significant, or the opposite may be true. EMG guides us regarding the timing and content of surgery (whether only decompression is needed or nerve repair is required).<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_are_nerve_repair_and_microsurgical_techniques_applied\"><\/span>How are nerve repair and microsurgical techniques applied?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In some cases, especially in masses that infiltrate nerve fibers such as neurofibromas or in traumatic masses, it may be necessary to remove the damaged portion of the nerve as well while excising the tumor. At the point where nerve integrity is disrupted, microsurgery comes into play. Nerves cannot reconnect by themselves in mid-air; the severed ends need to be brought face to face.<\/p>\n<p>If the removed segment is small and the nerve ends can be approximated without tension, an \u201cend-to-end repair\u201d is performed. Using sutures much thinner than a strand of hair, the nerve sheath is stitched under the microscope. However, if a large gap remains, forcibly joining the ends impairs nerve conduction. In this case, the method called a \u201cnerve graft\u201d is used. A segment taken from another part of the body (usually sensory nerves such as the sural nerve at the back of the leg, which does not cause significant functional loss when harvested) is transplanted as a \u201cpatch\u201d or \u201cbridge\u201d to the missing area.<\/p>\n<p>Nerve healing is a process that requires patience. Along the repaired nerve line, fibers progress at a rate of about 1 millimeter per day. In other words, it may take months for a nerve repaired at the wrist to reach the fingertip and restore sensation or movement there.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_are_surgical_scars_and_aesthetic_outcomes_improved\"><\/span>How are surgical scars and aesthetic outcomes improved?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In plastic surgery, there is technically no such concept as \u201cscarless surgery\u201d; wherever the scalpel touches, a biological healing process and a scar (cicatrix) form accordingly. However, our expertise is to ensure that this scar becomes \u201cinvisible\u201d or \u201cacceptable.\u201d In extremity surgery, a scar is not only an aesthetic issue but also a functional one. A poor scar that crosses a joint can prevent the finger from extending (contracture).<\/p>\n<p>Some of the methods we use to improve scar quality and aesthetic outcomes are:<\/p>\n<ul>\n<li>Zigzag incisions<\/li>\n<li>Aesthetic sutures<\/li>\n<li>Atraumatic technique<\/li>\n<li>Silicone gels<\/li>\n<li>Compression garments<\/li>\n<\/ul>\n<p>In the postoperative period, we use silicone-containing creams and tapes to prevent the scar from becoming raised. If a person\u2019s wound healing is genetically poor and raised scars called \u201ckeloids\u201d develop, steroid injections or laser treatments come to the fore at this stage. In the late period, the quality of the skin can be improved and the scar can be made less noticeable by injecting fat beneath depressed scars.<\/p>\n\t<div id=\"text-147716646\" class=\"text\">\n\t\t\n<h2><span class=\"ez-toc-section\" id=\"Frequently_Asked_Questions\"><\/span>Frequently Asked Questions<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\t\t\n<style>\n#text-147716646 {\n  font-size: 1.25rem;\n}\n<\/style>\n\t<\/div>\n\t\n<div class=\"accordion\">\n\t<div id=\"accordion-3563729220\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3563729220-label\" class=\"accordion-title plain\" href=\"#accordion-item-which-structures-are-most-commonly-affected-by-nerve--and-tendon-origin-masses?\" aria-expanded=\"false\" aria-controls=\"accordion-3563729220-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Which structures are most commonly affected by nerve- and tendon-origin masses?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-3563729220-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3563729220-label\">\n\t\t\t\n<p>These masses usually occur in the hand and wrist, especially around the median nerve, ulnar nerve, and flexor tendons. The fingers can also be affected, and the masses often become more noticeable with movement.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2840150276\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2840150276-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-symptoms-do-nerve-origin-masses-cause?\" aria-expanded=\"false\" aria-controls=\"accordion-2840150276-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>What symptoms do nerve-origin masses cause?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2840150276-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2840150276-label\">\n\t\t\t\n<p>Symptoms of nerve compression such as numbness, tingling, burning sensation, and pain may be seen. In advanced cases, muscle weakness and loss of reflexes may also occur.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2041191577\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2041191577-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-do-tendon-origin-masses-affect-movement?\" aria-expanded=\"false\" aria-controls=\"accordion-2041191577-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How do tendon-origin masses affect movement?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2041191577-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2041191577-label\">\n\t\t\t\n<p>Masses related to tendons become more prominent with movement and may restrict finger or wrist movements. A catching sensation, crepitus, and painful movement are common findings.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-928939882\" class=\"accordion-item\">\n\t\t<a id=\"accordion-928939882-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-is-the-difference-between-schwannoma-and-neurofibroma?\" aria-expanded=\"false\" aria-controls=\"accordion-928939882-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>What is the difference between schwannoma and neurofibroma?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-928939882-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-928939882-label\">\n\t\t\t\n<p>Both are benign nerve-origin tumors. Schwannoma usually develops from the outer layer of the nerve and is easier to separate from the nerve. Neurofibroma spreads into the nerve fibers and is more difficult to remove surgically.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3752564954\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3752564954-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-is-a-giant-cell-tumor-of-the-tendon-sheath-recognized?\" aria-expanded=\"false\" aria-controls=\"accordion-3752564954-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How is a giant cell tumor of the tendon sheath recognized?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-3752564954-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3752564954-label\">\n\t\t\t\n<p>It is usually a firm, immobile, and slow-growing mass. It is commonly seen in the hand and fingers. It is evaluated with MRI, and definitive diagnosis is made by pathological examination.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-352016793\" class=\"accordion-item\">\n\t\t<a id=\"accordion-352016793-label\" class=\"accordion-title plain\" href=\"#accordion-item-do-these-masses-carry-a-risk-of-cancer?\" aria-expanded=\"false\" aria-controls=\"accordion-352016793-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Do these masses carry a risk of cancer?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-352016793-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-352016793-label\">\n\t\t\t\n<p>Most nerve- and tendon-origin masses are benign. However, rarely, malignant forms such as malignant nerve sheath tumors may be seen. Rapidly growing, painful, or deeply located masses should be evaluated carefully.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1691700859\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1691700859-label\" class=\"accordion-title plain\" href=\"#accordion-item-can-surgical-treatment-cause-nerve-damage?\" aria-expanded=\"false\" aria-controls=\"accordion-1691700859-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Can surgical treatment cause nerve damage?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1691700859-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1691700859-label\">\n\t\t\t\n<p>Yes, there is a risk of nerve damage during removal of masses closely related to nerves. Therefore, it is important that surgery is performed by teams experienced in microsurgery.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-361090215\" class=\"accordion-item\">\n\t\t<a id=\"accordion-361090215-label\" class=\"accordion-title plain\" href=\"#accordion-item-which-methods-are-used-to-image-nerve-origin-masses?\" aria-expanded=\"false\" aria-controls=\"accordion-361090215-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Which methods are used to image nerve-origin masses?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-361090215-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-361090215-label\">\n\t\t\t\n<p>Ultrasound provides information about the nerve\u2019s thickness and location; however, magnetic resonance imaging (MRI) provides a more detailed evaluation and is preferred for nerve-related masses.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-829917390\" class=\"accordion-item\">\n\t\t<a id=\"accordion-829917390-label\" class=\"accordion-title plain\" href=\"#accordion-item-can-nerve-and-tendon-masses-heal-without-surgery?\" aria-expanded=\"false\" aria-controls=\"accordion-829917390-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Can nerve and tendon masses heal without surgery?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-829917390-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-829917390-label\">\n\t\t\t\n<p>No, these types of masses do not disappear spontaneously. Small, painless, and stable ones can be monitored; however, surgical treatment is generally necessary in symptomatic cases.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3461167580\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3461167580-label\" class=\"accordion-title plain\" href=\"#accordion-item-when-do-nerve-functions-improve-after-surgery?\" aria-expanded=\"false\" aria-controls=\"accordion-3461167580-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>When do nerve functions improve after surgery?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-3461167580-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3461167580-label\">\n\t\t\t\n<p>After pressure on the nerve is relieved, recovery may take a few weeks to a few months. If there is existing nerve damage, the return of sensory and motor functions may take longer or permanent losses may occur.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3300331404\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3300331404-label\" class=\"accordion-title plain\" href=\"#accordion-item-which-department-or-doctor-should-be-consulted-for-nerve--and-tendon-origin-masses?\" aria-expanded=\"false\" aria-controls=\"accordion-3300331404-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Which Department or Doctor Should Be Consulted for Nerve- and Tendon-Origin Masses?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-3300331404-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3300331404-label\">\n\t\t\t\n<p>For the diagnosis and treatment of nerve- and tendon-origin masses, the Plastic, Reconstructive and Aesthetic Surgery department can be consulted. These masses are usually benign but may cause restricted movement or pain in the hand, arm, or body. Plastic surgeons can safely remove masses related to these structures using microsurgical techniques.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n<\/div>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-2067618576 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1421695546 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":1963,"parent":1906,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-blank.php","meta":{"footnotes":""},"class_list":["post-2085","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/pages\/2085","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/comments?post=2085"}],"version-history":[{"count":2,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/pages\/2085\/revisions"}],"predecessor-version":[{"id":2100,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/pages\/2085\/revisions\/2100"}],"up":[{"embeddable":true,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/pages\/1906"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/media\/1963"}],"wp:attachment":[{"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/media?parent=2085"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}