Hand Tumors

Henderson, Megan; Neumeister, Michael W.; Bueno, Reuben A.

doi:10.1097/01.prs.0000436854.09656.05

Cited by 35 publications

(17 citation statements)

References 81 publications

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“…In all of these patients pathological examination revealed lymph node metastasis. Alternatively, high-risk lesions may benefit from sentinel lymph node biopsy for the diagnosis of subclinical lymph node metastasis (9). In a previous study, lesions smaller than 2 cm had a local recurrence rate of 7.4% and a metastasis rate of 9.1% while tumors larger than 2 cm in diameter had a local recurrence rate of 15.2% and a metastasis rate of 30.3% (11).…”

Section: Discussionmentioning

confidence: 99%

Squamous Cell Carcinoma of the Hand: Clinical Presentation, Surgical Treatment, Outcome and Survival Rate: a Series of 129 Cases

Irmak¹,

Sirvan²,

Serin³

et al. 2019

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Objective: Despite its relative high frequency; the recurrence, metastasis and long-term survival rates of hand squamous cell carcinoma have not been well defined. The aim of this study was to review a large cohort of patients with hand squamous cell carcinomas and to evaluate the management techniques, outcomes of treatment modalities and survival rates. Methods: A retrospective review of all surgically excised primary squamous cell carcinoma of the hand operated between 2006 and 2011 was included in this multicenter study. Patients were evaluated regarding age, anatomic location of the tumor, gender, treatment modality, survival, and recurrence rate. In addition, recurrence and survival rates were also categorized according to the tumor size. Results: A total of 129 patients were evaluated. Tumors smaller than 2 cm had a recurrence rate of 9.7% and a metastatic rate of 6.5%; tumors larger than 2 cm had a recurrence rate of 16.7% and a metastatic rate of 33% during 5-year follow-ups. Conclusion: In contrast to squamous cell carcinoma of the face, those occurring on the hand are malignancies with a worse clinical course, greater tendency for recurrence, metastatic spread, and functional deficiency which might require amputation and complex soft tissue reconstruction.

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Section: Discussionmentioning

confidence: 99%

Squamous Cell Carcinoma of the Hand: Clinical Presentation, Surgical Treatment, Outcome and Survival Rate: a Series of 129 Cases

Irmak¹,

Sirvan²,

Serin³

et al. 2019

tdd

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“…Tumors of the hand are mostly benign painless lesions. Enchondromas are the most common primary bone tumors of the hand, comprising up to 70–90% of cases [1, 2]. Aneurysmal bone cysts (ABCs) are commonly found in long bones [3].…”

Section: Introductionmentioning

confidence: 99%

“…Aneurysmal bone cysts (ABCs) are commonly found in long bones [3]. Atypical presentation in hand may mimic other bone lesions of the hand like enchondroma [1]. Other bone tumors and tumor-like lesions in the hand include simple bone cyst (SBC), giant cell tumor (GCT), fibrous tumors, and vascular tumors [2].…”

Section: Introductionmentioning

confidence: 99%

A Lytic Lesion in Proximal Phalanx of Hand: A Case Report and Diagnostic Approach

Sreenivas

Parthasarathy

Ajayakumar

2021

Case Rep Orthop Res

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Lytic lesions arising in the hand can be confused with an enchondroma. Enchondroma is the most common tumor of the hand and can present with varied features. It often requires only observation. A dilemma arises when surgically treatable lesions like aneurysmal bone cyst (ABC) present in uncommon locations like the hand. To diagnose a lytic lesion in the hand, percutaneous biopsy is commonly done. But, percutaneous biopsy is unnecessary in enchondroma and may not be useful in conditions like simple bone cyst and ABC. In such situations, magnetic resonance imaging (MRI) can differentiate between the most frequent benign lesions of the hand thereby reducing the need for invasive procedures. We present a 25-year-old lady who presented with a painless right index finger swelling for the past 6 months. Radiographs revealed a lytic expansile lesion in the proximal phalanx of the hand. MRI showed multiple fluid-fluid levels. Curettage and autologous iliac crest bone grafting was done. Histopathology confirmed the diagnosis of an ABC. The patient was followed up for 12 months without any recurrence. We briefly review the paucity of literature on the diagnostic approach to benign lytic lesions of the hand.

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“…[2][3][4] Chronic sun exposure predisposes the back of the hands to developing SCC. 5 Historical factors such as occupations or lifestyles with significant sun exposure should also raise clinical suspicion when examining cutaneous lesions. Some examples of higher-risk occupations include lifeguards, landscapers, construction workers, and airplane pilots.…”

Section: Introductionmentioning

confidence: 99%

“…for high risk SCC. 5 In the case of highrisk patients, various amputations may be the best options and should be considered early. In this paper, we present a unique case of recurrent infiltrating squamous cell carcinoma of the hand requiring multiple resections.…”

Section: Introductionmentioning

confidence: 99%

Ray Resection for Recurrent Invasive Squamous Cell Carcinoma: A Case Report

Valk

Caid

et al. 2020

Spartan Medical Research Journal

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Squamous cell carcinoma is the most common tumor of the hand. This malignancy requires unique treatment considerations; the surgeon and patient must balance retention of maximal functional capacity of the hand and minimization of the risk of recurrence and metastasis. Digital-sparing and digital-sacrificing therapies should be considered. Chance for cure, recurrence and metastasis risk, cosmetic concerns, and functional concerns should be addressed on a case-by-case basis. We report a case of a fifty-three-year-old man with cutaneous squamous cell carcinoma of his non-dominant hand. Ulceration and rapid growth of a long-standing lesion of the dorsal hand prompted evaluation and treatment. Over the course of a year, three separate surgeries including digital amputations and metacarpal resections were required to manage this recurrent and invasive malignancy. Seven years post-operatively, our patient retained a full, painless range of motion arc of the left thumb and ability to grip utilizing a functional brace. Treatment of squamous cell carcinoma of the hand is not always straightforward. High rates of local recurrence require negative margins and diligent postoperative surveillance. Digital sparing therapy should be considered to minimize functional impairment and maximize cosmesis. However, aggressive treatment and amputation must be considered for advanced disease and if pursued, should focus on maximization of functional capacity as one of the treatment goals.

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Hand Tumors

Cited by 35 publications

References 81 publications

Squamous Cell Carcinoma of the Hand: Clinical Presentation, Surgical Treatment, Outcome and Survival Rate: a Series of 129 Cases

Squamous Cell Carcinoma of the Hand: Clinical Presentation, Surgical Treatment, Outcome and Survival Rate: a Series of 129 Cases

A Lytic Lesion in Proximal Phalanx of Hand: A Case Report and Diagnostic Approach

Ray Resection for Recurrent Invasive Squamous Cell Carcinoma: A Case Report

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