Paper Information

Journal:   ACTA MEDICA IRANICA   2002 , Volume 40 , Number 4; Page(s) 207 To 211.
 
Paper: 

OSSEOUS TUMORS OF THE HAND

 
 
Author(s):  FARZAN M.*, MORTAZAVI S.M.J.
 
* School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
 
Abstract: 
The majority of osseous tumors of the hand are benign. The surgeon who evalutltes and trellis osseous tumors of the hand has to be famUiIlr with limb anatomy, tumor biology, various presentlltions of the tumors and the range of treatment possibilities and their limitations. Lesions in the hand more often present earlier in their course than those at other sites, just because they are more likely to be superficial and easUy noticed. A review of all cases of osseous tumors of the hand, seen bya hand surgeon over the last 10 years, at lmam Khomeini hospital was performed. Among 55 cases with osseous tumors of hand, 48 primary benign bone tumors, 3 primary malignant bone tumors, and 4 metastatic bone tumors werefound. Enchondroma was the most common benign bone tumor foUowu by osteoid osteoma, osteoblastoma, aneurysmal bone cyst, giant cell tumor, epidermoid cyst, and osteochondroma. There were two chondrosarcoma and one Ewing*s sarcoma as primary malignant bone tumors. MetIIstasis to the hand from colon, esophagus, and breast were alsofound. There were also two cases with Brown tumor secondary to hyperparathyroidism. We conclude thtlt a variety of osseous tumors could occur in the hand, and usually they are benign. Although malignant neopJasms in the hand that arise from tissues other than the skin are very rare, the hand may be the site of distant breast, lung, kidney, esophagus, or colon adenocarcinoma metastases, most of which have a predilection for the distal phalanges.
 
Keyword(s): HAND TUMORS, BENIGN BONE TUMOR, MALIGNANT BONE TUMOR, TUMOR-LIKE LESIONS
 
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