Uncommon Hand Tumours

Ck, Wong; Chow, Louis T. C.; Yen, Ching‐Yu; Ho, Pak‐Cheong; Yip, Ricky; Hung, L.K.

doi:10.1142/s0218810401000564

Cited by 19 publications

(9 citation statements)

References 25 publications

(19 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Recently, it has been shown that the occurrence of long-standing pain at the tumor site preceding the development of a bulge is significantly more common with synovial sarcomas than with other sarcomas [9]. The imaging appearance is nonspecific, and in all cases a biopsy is necessary to confirm the diagnosis [3,10,11]. …”

Section: Discussionmentioning

confidence: 99%

“…Unfortunately, the minimal acceptable margin has not been clearly established, and the surgeon must be aware of the possibility of microscopic infiltration of tumor cells into the pseudocapsule of the tumor [1,3,10]. Many investigators have suggested 1 cm to 2cm resection margins [1-3,10]. Because of proximity to the joints, the ablation can consist of either tenosynovectomy and/or post-operative radiotherapy and/or chemotherapy, or simply extremity segment amputation [3].…”

Section: Discussionmentioning

confidence: 99%

“…When proximity to critical anatomical structures and patient desire do not allow the surgeon to obtain adequate surgical margins, isolated limb perfusion and radiotherapy must be considered, as they can potentially prevent amputation. In all cases, multidisciplinary discussion of adjuvant therapies that may prevent amputation must occur prior to surgery [1-3,10,18]. Flaps are also an important option to bear in mind, as they can provide coverage of vital anatomical structures, as well as minimize the effects of radiation injury on these structures [19].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

A 63-year-old woman presenting with a synovial sarcoma of the hand: a case report

et al. 2012

View full text Add to dashboard Cite

IntroductionSynovial sarcoma is a high-grade, soft-tissue sarcoma that most frequently is located in the vicinity of joints, tendons or bursae, although it can also be found in extra-articular locations. Most patients with synovial sarcoma of the hand are young and have a poor prognosis, as these tumors are locally aggressive and are associated with a relatively high metastasis rate. According to the literature, local recurrence and/or metastatic disease is found in nearly 80% of patients. Current therapy comprises surgery, systemic and limb perfusion chemotherapy, and radiotherapy. However, the 5-year survival rate is estimated to be only around 27% to 55%. Moreover, most authors agree that synovial sarcoma is one of the most commonly misdiagnosed malignancies of soft tissues because of their slow growing pattern, benign radiographic appearance, ability to change size, and the fact that they may elicit pain similar to that caused by common trauma.Case presentationWe describe an unusual case of a large synovial sarcoma of the hand in a 63-year-old Caucasian woman followed for 12 years by a multidisciplinary team. In addition, a literature review of the most pertinent aspects of the epidemiology, diagnosis, treatment and prognosis of these patients is presented.ConclusionAwareness of this rare tumor by anyone dealing with hand pathology can hasten diagnosis, and this, in turn, can potentially increase survival. Therefore, a high index of suspicion for this disease should be kept in mind, particularly when evaluating young people, as they are the most commonly affected group.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A 63-year-old woman presenting with a synovial sarcoma of the hand: a case report

et al. 2012

View full text Add to dashboard Cite

show abstract

“…Definitive 4,8,12 The incidence of tumor recurrence after surgery was reported as between 15% and 24% for glomus tumor of soft tissue origin. [13][14][15] Incomplete removal of intraosseous tumor also led to symptom recurrence and reoperation in 1 reported case. 10 Some authors 1,3,6,10 have suggested en bloc tumor excision, whereas others believed that amputation would be too radical for a benign digital lesion.…”

Section: Discussionmentioning

confidence: 99%

Intraosseous Glomus Tumor Treated by Toe-to-Finger Transfer: Case Report

Lau

Ho²,

Tse³

et al. 2009

The Journal of Hand Surgery

View full text Add to dashboard Cite

“…Lipomas present as the most common tumor in the body [1]. The occurance of Lipomas in the hand is usually rare [3].…”

Section: Palmar Lipomatosis -A Rarest Clinical Presentationmentioning

confidence: 99%

A Rare Clinical Presentation of Lipoma- Palmar Lipomatosis

Shahbaaz

Surendra

Kala

2017

Journal of Diagnostics

View full text Add to dashboard Cite

Article HistoryIntroduction-Lipoma is the most common and most widely distributed tumor seen in the body. The most common clinical presentation is a gradually increasing, soft and non-tender mass. These tumours are very rare in hands and if they are present then they are of small size and usually one in number. Herewith we are presenting a case of Palmar Lipomatosis which had a large tumour and 4 small size tumour in same palm. Case report-Herewith we are reporting a case of a 40 years old female, presented with the complaints of multiple swellings in the right palm. She first noticed a small swelling on the thenar aspect of palm about 1½ years back; which was slowly, progressively increasing in size since then. Meanwhile patient also noticed some other swellings in the same palm. Incisions were given over thenar, hypothenar and at the bases of finger. All the tumors were removed en-masse. Biopsy report was fibrolipoma. ConclusionPalmar lipoma is very rare tumour. Palm has very limited space for these tumours to grow but still these tumours can be found in palm. Very limited case reports about the lipoma of hand are present in literature. Here we presented a rare case of palmer lipomatosis which has multiple lipomatous swellings in same plam. They were removed successfully without any residual deformity.

show abstract

Uncommon Hand Tumours

Cited by 19 publications

References 25 publications

A 63-year-old woman presenting with a synovial sarcoma of the hand: a case report

A 63-year-old woman presenting with a synovial sarcoma of the hand: a case report

Intraosseous Glomus Tumor Treated by Toe-to-Finger Transfer: Case Report

A Rare Clinical Presentation of Lipoma- Palmar Lipomatosis

Contact Info

Product

Resources

About