Figure 1
Clinical and radiologic features of the patient. The radio-graphs show enlarged middle and fourth fingers of the patient’s left hand
Figure 2
Postoperative 1-year follow-up radiologic features of the patient. The radiographs show enlarged middle and fourth fingers of the patient’s left hand (A and B)
Table 1
Medical history timeline
| Time of the investigation | Medical record |
|---|---|
| 07/04/2015 | PE* and X-ray imaging: Large soft tissue of the middle and ring fingers of the left hand (Figure 1) |
| 20/09/2015 | First surgery: Reduction of the left middle finger with fusion of distal interphalangeal and proximal interphalangeal joints |
| 05/04/2016 | PE* and X-ray imaging: Enlargement of subcutaneous, digital nerve, bone, and tendon of the left middle finger (Figure 2) |
| 07/2016 | Second surgery: Debulking and correction osteotomy of the left middle finger |
Figure 3
Mutation analysis of the PIK3CA gene. The sequence electropherograms of the PIK3CA from (A) the cultured dermal fibroblasts, (B) the nerve tissues, and (C) peripheral leukocytes. The c.3140A>T mutation (arrows) is found in the dermal fibroblasts and nerve tissue but not peripheral leukocytes