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Tumors of the hand
Clinical Orthopaedics and Related Research
|May 1, 1975
Summary
Diagnosing hand tumors is challenging due to anatomical complexity. Histologic diagnosis via excisional biopsy is crucial for effective treatment planning of benign and malignant hand lesions.
Area of Science:
- Oncology
- Hand Surgery
- Pathology
Background:
- Hand tumors present diagnostic challenges due to the intricate proximity of diverse tissues within a confined space.
- Accurate diagnosis is essential for effective treatment and management of hand swellings.
Purpose of the Study:
- To review diagnostic and treatment strategies for hand tumors.
- To emphasize the importance of histologic diagnosis and appropriate biopsy techniques.
Main Methods:
- Review of 129 cases of hand tumors.
- Analysis of diagnostic uncertainties and treatment outcomes.
Main Results:
- Histologic diagnosis is necessary for appropriate treatment of hand tumors.
- Excisional biopsy is recommended whenever feasible to ensure complete treatment for benign lesions and avoid compromising further management for malignant ones.
- Wide local excision for malignant hand tumors is often functionally limited due to the need for wide margins.
Conclusions:
- Histologic confirmation is paramount for accurate diagnosis and treatment of hand tumors.
- Excisional biopsy facilitates definitive treatment for benign lesions and preserves options for malignant ones.
- Surgical management of malignant hand tumors must balance oncologic principles with functional preservation, acknowledging limitations in achieving wide margins without functional compromise.