Tumors of the hand

Abstract

Tumors of the hand comprise a vast array of lesions involving skin, soft tissue and bone. The majority of tumors in the hand are benign. Malignant tumors, although rare, do occur and frequently have unique characteristics in this specific anatomic location. Careful staging, histological diagnosis and treatment are essential to optimize clinical outcome. However, straightforward most of the time, hand tumor management does have pitfalls; caution is advised, as a missed or delayed diagnosis or an improperly executed biopsy may have devastating consequences. This article reviews the clinical spectrum of the most common benign and malignant bone and soft tissue tumors of the hand and discusses the clinicopathological findings, imaging features and current concepts in treatment for these tumors.

Case report of middle aged male patient with extra digital glomus tumor visiting dermatology clinic of King Abdul-Aziz Medical City, National Guard Health Affairs, Jeddah, Saudi Arabia, 2018

“…Glomus tumor of the forearm often is larger and rarely sensitive to cold. 1,2,5 These finding has been observed in other case reports of glomus tumor of the forearm and in our patient, who did not complain of cold intolerance and had a tumor size of 3 cm. 6.7 These symptoms can be examined by specific maneuvers, the Love test, Hildreth test and cold sensitivity test.…”

“…Clinically, patients present with painful, slightly raised, red to blue lesions with a size ranging from 0.1 to 3 cm in diameter. 2 The diagnostic key of digital glomus tumor is the classic tried of severe pain, pinpoint tenderness and temperature hypersensitivity. 4 However, extra digital glomus tumors do not always share the typical picture, specially for tumor size and the presence of temperature hypersensitivity.…”

“…8 Radiography is not a diagnostic tool for glomus tumor. 2 However, it can aid in the diagnosis. For example, ultrasound can help to differentiate between solid and cystic masses and localization of the tumor.…”

“…Usually misdiagnosis with other skin tumor and unfortunately correct diagnosis takes seven years from onset of symptoms. 2 variety of sites that can be affected and the different symptoms that patients may present with. Glomus tumor of the forearm is an example of uncommon location of the tumor, which differs slightly in its presentation.…”

Painful Pseudoclubbing of a Single Nail Unit

“…Enchondromas most often affect the cartilage that lines the inside of bones, and 50% of the cases are located on small tubular bones of the hands and feet. They are considered the most common primary bone tumor arising in the hands, occurring mainly in the proximal phalanx [2]. Lesions of the distal phalanx are uncommon, and this location has been shown to have a female predominance in small series [3, 4].…”