Related Experiment Videos
Primary malignant bone tumors of the hand
F J Frassica1, P C Amadio, L E Wold
1Department of Orthopedics, Mayo Clinic, Rochester, Minn 55905.
The Journal of Hand Surgery
|November 1, 1989
Summary
Malignant bone tumors of the hand are rare. Surgical control requires wide margins and regular follow-up to prevent local recurrence, especially after curettage.
Area of Science:
- Orthopedic Oncology
- Skeletal Tumors
Background:
- Malignant bone tumors of the hand are uncommon.
- Limited institutional experience exists for managing these rare lesions.
Observation:
- A review of 18 patients with 22 malignant bone lesions in the hand.
- Lesion types included chondrosarcoma, hemangioendothelial sarcoma, osteosarcoma, fibrosarcoma, and Ewing's tumor.
- Most lesions occurred in metacarpals and phalanges.
Findings:
- Curettage procedures were associated with an 85% local recurrence rate.
- Nine local recurrences were observed, with a mean onset of 24.5 months.
- Three patients developed metastatic disease.
Implications:
- Effective surgical management necessitates meticulous preoperative planning and wide surgical margins.
- Ongoing oncologic surveillance is crucial for patients with hand bone malignancies.