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Arch Bone Jt Surg. 2013 Dec;1(2):68-73. Epub 2013 Dec 15.

Osseous tumours of the hand: a review of 99 cases in 20 years.

The archives of bone and joint surgery

Mahmoud Farzan, Parviz Ahangar, Hamed Mazoochy, Mohammad Vahedian Ardakani

Affiliations

  1. Mahmoud Farzan MD, Parviz Ahangar MD, Hamed Mazoochy MD, Mohammad Vahedian Ardakani MD, Department of Orthopedic Surgery Imam-Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.

PMID: 25207291 PMCID: PMC4151409

Abstract

BACKGROUND: Tumors involving the hand skeleton are rare. However, a basic knowledge of hand tumors is necessary for every clinician. This is due to the importance of distinguishing typical benign tumors from life or limb threatening malignant ones.

METHODS: This study is a review of 99 cases of osseous hand tumors presented to the department of orthopedic surgery, Imam Khomeini Hospital in Tehran, Iran, from December 1990 to February 2011.

RESULTS: Ninety-one cases were benign osseous tumors of the hand and eight tumors were malignant which four of them were considered as primary and four considered as metastatic type. The most common benign tumors were enchondroma and osteoid osteoma. Other benign tumors were epidermoid bone cyst, giant cell tumor of the bone, aneurysmal bone cyst, osteoblastoma, and osteochondroma. Primary malignant tumors were extremely rare and we have reported two chondrosarcomas, one osteosarcoma and one Ewing's sarcoma involving the hand skeleton.

CONCLUSION: This study indicates that the history, physical examination, laboratory and radiographic data as well as clinicians' knowledge of specific hand tumors are required for the best management strategy. New techniques could lead to earlier diagnosis, prevent complications and indentify the most effective type of treatment.

Keywords: Benign bone tumors; Hand tumors; Malignant bone tumors; Surgical management

References

  1. Arch Plast Surg. 2012 Nov;39(6):678-80 - PubMed
  2. J Hand Surg Am. 2004 Mar;29(2):188-93 - PubMed
  3. Cancer. 2000 May 1;88(9):2022-32 - PubMed
  4. J Hand Surg Am. 1988 Sep;13(5):676-83 - PubMed
  5. Hand Clin. 2004 Aug;20(3):303-15, vi - PubMed
  6. Am J Surg. 1960 Aug;100:293-302 - PubMed
  7. Arch Orthop Trauma Surg. 2009 Jun;129(6):729-34 - PubMed
  8. J Hand Surg Eur Vol. 2011 Oct;36(8):648-55 - PubMed
  9. Int J Clin Exp Pathol. 2008 Jan 01;1(6):489-501 - PubMed
  10. Acta Orthop Belg. 2006 Dec;72(6):748-55 - PubMed
  11. Instr Course Lect. 2002;51:413-28 - PubMed
  12. J Hand Surg Am. 2010 Nov;35(11):1895-900; quiz 1900 - PubMed
  13. J Bone Joint Surg Br. 2003 Nov;85(8):1161-5 - PubMed
  14. Pan Afr Med J. 2011;8:39 - PubMed
  15. J Hand Surg Am. 2001 May;26(3):546-55 - PubMed
  16. Lancet Oncol. 2007 Feb;8(2):157-66 - PubMed
  17. J Bone Joint Surg Br. 1977 May;59(2):213-21 - PubMed
  18. Br Med J. 1960 Mar 26;1(5177):919-22 - PubMed
  19. Am J Surg. 1953 Mar;85(3):327-34 - PubMed
  20. J Hand Surg Am. 1999 Mar;24(2):405-12 - PubMed
  21. In Vivo. 2008 Sep-Oct;22(5):633-46 - PubMed
  22. J Bone Joint Surg Br. 2002 Mar;84(2):249-51 - PubMed
  23. Acta Ortop Mex. 2010 Sep-Oct;24(5):345-50 - PubMed
  24. J Natl Med Assoc. 1978 Nov;70(11):837-40 - PubMed
  25. J Bone Joint Surg Am. 1964 Jun;46:755-65 - PubMed
  26. J Hand Surg Am. 2010 Nov;35(11):1901-10 - PubMed
  27. J Hand Microsurg. 2010 Dec;2(2):67-71 - PubMed
  28. J Hand Surg Am. 1989 Nov;14(6):1022-8 - PubMed
  29. Acta Orthop Belg. 2006 Apr;72(2):119-25 - PubMed
  30. Arch Iran Med. 2012 Dec;15(12):777-9 - PubMed
  31. J Foot Ankle Surg. 2009 Jul-Aug;48(4):495-505 - PubMed
  32. Acta Orthop Belg. 2005 Dec;71(6):736-9 - PubMed

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