Management of tumors and tumor-like lesions of the hand: a review of 191 patients
Yener Sağlık1, Hakan Atalar2, Mehmet Armangil1, Kerem Başarır1, Yusuf Yıldız1, Sinan Bilgin1
1Department of Orthopedics and Traumatology, Medical Faculty of Ankara University, Ankara, Turkey
2Department of Orthopedics and Traumatology, Medical Faculty of Gazi University, Ankara, Turkey
Keywords: Bone tumor; demography; hand tumor; hand; radiography; surgery.
Objectives: In this study, we aimed to investigate the incidence of benign and malignant hand tumors, localization and management approaches.
Patients and methods: Between March 1986 and October 2008, 191 consecutive patients (86 males, 105 females; mean age 35.06 years; range 1 to 96 years) who were diagnosed with tumors or tumor-like lesions of the hand in our clinic were retrospectively analyzed. Patients with only intraosseous ganglion cysts were included in the study.
Results: The most common lesion was enchondroma (n=59, 30.89%). A giant-cell tumor of the tendon sheath was the most common benign soft tissue tumor (n=30, 15.70%). Alveolar rhabdomyosarcoma was the most frequent malignant soft tissue lesion (n=5, 2.61%). The most common non-metastatic malignant lesions of the bone were chondrosarcomas (n=6, 3.14%). Of the patients with chondrosarcoma, two were diagnosed with primary lesions, and four were diagnosed with chondrosarcoma when benign cartilaginous lesions underwent malignant transformation during follow-up. Metastases to the hand were seen in six patients.
Conclusion: The incidence of benign tumors of the hand is higher than malignant tumors. Since hand tumors may affect several parts of the body, diagnosis and treatment are best provided through a multidisciplinary approach.