Benign Hand Tumors (Part II): Soft Tissue Tumors

Lans, Jonathan; Yue, Kai-Lou C; Castelein, René M.; Suster, David; Nielsen, G. Petur; Chen, Neal C.; Lozano-Calderón, Santiago

doi:10.1177/1558944720928499

Cited by 3 publications

(31 citation statements)

References 71 publications

(72 reference statements)

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“…Tenosynovial giant cell tumors and schwannomas have similar MRI characteristics and are often misunderstood. Moreover, a tenosynovial giant cell tumor is the second most common hand tumor (the first being the ganglion cyst) and commonly occurs in the volar aspect with intermittent satellite or multiple manifestations, similar to our patient's presentation [3,4,6].…”

Section: Discussionsupporting

confidence: 82%

“…Furthermore, she neither presented with neurofibromatosis (based on the clinical manifestations and pathological reports) nor had a family history of the same. Segmental schwannomatosis constitutes approximately 30% of all cases of schwannomatosis [3,5]. Furthermore, schwannomatosis may be familial or sporadic.…”

Section: Discussionmentioning

confidence: 99%

“…Schwannomas (or neurilemmomas) are the most frequently occurring benign tumors of the peripheral nerve sheath [1,2]. Commonly occurring in the fourthsixth decades of life without any sex predilection [3,4], they are mostly observed in the volar aspect of the forearm and hand. They reportedly comprise 12% of all soft-tissue neoplasms of the hand [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

“…Commonly occurring in the fourthsixth decades of life without any sex predilection [3,4], they are mostly observed in the volar aspect of the forearm and hand. They reportedly comprise 12% of all soft-tissue neoplasms of the hand [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

“…Magnetic resonance imaging (MRI) and ultrasonography are helpful in their diagnosis and localization [1,2]. Schwannomas are usually solitary lesions, and multiple schwannomas of different nerves within the same extremity are rare [3]. No malignant transformations of schwannomas have been reported yet; however, 8.3% of patients have experienced a local recurrence after resection [3].…”

Section: Introductionmentioning

confidence: 99%

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Segmental schwannomatosis in the upper extremity: a case report and review of the literature

Kang

et al. 2022

Arch Hand Microsurg

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Schwannomas, the most frequently occurring benign tumors of the peripheral nerve sheath, generally remain as painless swellings for several years before diagnosis. Multiple schwannomas involving different nerves within the same extremity are rare. We report a rare case of a 61-year-old female who presented with multiple schwannomas in the palmar common and proper digital nerves, 15 years after the resection of a median nerve schwannoma within the same upper extremity. Using preestablished diagnostic criteria, she was diagnosed with segmental schwannomatosis. After careful surgical resection, biopsy confirmed the diagnosis and she recovered without neurological symptoms or limitations in the range of motion. Literature review revealed only four case series on segmental schwannomatosis, indicating its rarity. Postoperative sensory deficits are more likely in cases with multiple schwannomas in the common and proper digital nerves. We demonstrate that such complications can be avoided by meticulous dissection and separation of the tumors from the nerve fibers.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Segmental schwannomatosis in the upper extremity: a case report and review of the literature

Kang

et al. 2022

Arch Hand Microsurg

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Benign Tumors of the Wrist, Hand, and Fingers

Gocke

2024

JBJS Journal of Orthopaedics for Physician Assistants

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Most tumors involving the wrist, hand, and fingers consist of skin, soft tissue, and bone. Many of these tumors are benign, with only a small percentage considered malignant. The location of these tumors can contribute to patient apprehension and concern. This article aims to review epidemiology, describe physical characteristics, and review diagnostic imaging studies and treatment options commonly used to treat benign tumors of the wrist, hand, and fingers.

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Bony and Soft Tissue Hand Tumors

Almigdad

2023

COTC

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Background: The hand is a common site of tumors and tumor-like pathology. This study aimed to evaluate hand tumors and their distribution regarding age, gender, and histopathological characteristics to promote better understanding and aid in diagnosis. Material and Methods: A total of 261 incisional or excisional biopsies for hand tumors were reviewed retrospectively from January 2017 to December 2022 at Princess Iman Research Center. The tumor was assessed according to the tumor origin, and histopathological diagnosis was analyzed regarding age and gender to find the correlation. Biopsies with more than one possible diagnosis and excised hand tumors that were not sent to a pathologist were not included. Results: Soft tissue tumors represented 93.5% and bone tumors 6.5% of all hand tumors. Malignant tumors were reported in 6.1%. Tendon sheath (19.2%) and synovial (17.6%) origin tumors were the most common types, followed by skin (13%) and vascular (12.6%) tumors. Giant cell tumor was the most common hand tumor type (18.8%), followed by Ganglion cyst (16.5%). Enchondroma was the most common bone tumor (3.1%), and squamous cell carcinoma was the most common malignant tumor in hand. There was no difference in the distribution of tumors between different gender and ages. Conclusions: Although ganglion is the most common hand tumor in all reports, in our study, it was the second most common after the Giant cell tumor of tendon sheath because many surgeons depended on the clinical picture alone. Multicenter studies and other study designs, such as clinical and radiological evaluation, are required for a better understanding of the distribution of hand tumors.

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Benign Hand Tumors (Part II): Soft Tissue Tumors

Cited by 3 publications

References 71 publications

Segmental schwannomatosis in the upper extremity: a case report and review of the literature

Segmental schwannomatosis in the upper extremity: a case report and review of the literature

Benign Tumors of the Wrist, Hand, and Fingers

Bony and Soft Tissue Hand Tumors

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