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2018, Volume 34, Number 1, Page(s) 066-072
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DOI: 10.5146/tjpath.2017.01413 |
Tumorous Conditions of the Hand: A Retrospective Review of 402 Cases |
Ali CAVİT1, Haluk ÖZCANLI1, Mesut SANÇMIŞ2, Güzide Ayşe OCAK3, Elif İnanç GÜRER3 |
1Department of Orthopaedics & Traumatology, Akdeniz University Faculty of Medicine, ANTALYA, TURKEY 2Manavgat State Hospital ANTALYA, TURKEY 3Department of Pathology, Akdeniz University Faculty of Medicine , ANTALYA, TURKEY |
Keywords:
Hand, Neoplasms, Bone, Soft tissue, Metastasis |
Objective: Knowledge concerning treatment and care of hand lesions is often based on small case series, case reports and a few large general
case series. The aim of this study is to present our experience with hand tumors’ and tumor-like lesions’ incidence, age range and localizations.
Material and Method: Between 2006-2016, 402 patients operated and histopathologically diagnosed with bone and soft tissue tumorous
conditions of the hand were evaluated retrospectively.
Results: Three hundred sixty one out of 402 cases (89.8%) were soft tissue tumors and 41 cases (10.2%) were osseous tumors of the hand. A total
of 10 malignant tumors (2.5%) were encountered in the hand. The average age of the patients was 41.9 years (ranged from 1 to 83 years). Among
361 soft tissue tumors, only 6 cases (1.6%) were malignant and they were squamous cell tumors (n=5) and synovial sarcoma (n=1). The most
common soft tissue pathology was ganglion cyst (n=125). The most common bone tumor was enchondroma, diagnosed in 26 patients (6.4%
of all patients). Primary malignant bone tumors were extremely rare in the hand; one osteosarcoma and one chondrosarcoma were reported.
Metastatic tumors to the hand were seen in two patients; and they were lung carcinoma and chondrosarcoma metastasis.
Conclusion: Up-date knowledge and a thorough understanding of the nature and demographic characteristics of the tumorous conditions of the
hand are crucial for accurate diagnosis and appropriate treatment.
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