Neoplasms and Tumor-Like Lesions of the Hand

Authors

  • Badr AbdullGaffar Pathology Section, Rashid Hospital, Oud Metha Road., Dubai, United Arab Emirates

DOI:

https://doi.org/10.6000/1927-7229.2012.01.02.10

Keywords:

Hand, wrist, fingers, neoplasms, tumor-like lesions.

Abstract

 The hand is a very versatile functional part of the body and therefore more prone to trauma and thus trauma-related tumor-like lesions are more likely to develop in the hand and wrist region. A broad spectrum of variable lesions can involve the hand. Most are benign non-neoplastic trauma-induced tumor-like lesions. True neoplasms of the hand are predominantly benign. Primary malignant tumors of the hand are rare, apart from the common cutaneous malignancies, for example basal cell carcinoma, squamous cell carcinoma and melanoma. Secondary metastases are very rare. Most of the hand lesions are histologically recognizable without problems. Certain highly proliferative and cellular lesions, particularly soft-tissue and skeletal benign pseudosarcomatous tumors and tumor-like lesions, can lead to misdiagnosis. The unwary pathologists, on occasions, could misinterpret them as sarcomas with catastrophic surgical management consequences for the patients. Awareness of the spectrum of neoplasms and pseudotumors that involve the hand will help pathologists avoid these interpretation errors and guide surgeons to the best surgical management for the patients.

We conducted a retrospective review study to investigate the prevalence and spectrum of hand neoplasms and tumor-like lesions in a setting of a general community-based hospital practice compared with studies conducted in specialized tertiary reference-based hospitals in developed countries.

References

Plate IS, Lee SJ, Steiner G, et al. Tumorlike lesions and benign tumors of the hand and wrist. J Am Acad Orthop Surg 2003; 11: 129-41.

Plate AM, Steiner G, Posner MA. Malignant tumors of the hand and wrist. J Am Acad Orthop Surg 2006; 14: 680-92.

Sobanko JF, Dagum AB, Davis IC, et al. Soft tissue tumors of the hand. 2. Malignant. Dermatol Surg 2007; 33: 771-785. http://dx.doi.org/10.1111/j.1524-4725.2007.33170.x

Sobanko JF, Dagum AB, Davis IC, et al. Soft tissue tumors of the hand. 1. Benign. Dermatol Surg 2007; 33: 651-67. http://dx.doi.org/10.1111/j.1524-4725.2007.33140.x

Stack HG. Tumours of the Hand. Postgrad Med J 1964; 40: 290-98. http://dx.doi.org/10.1136/pgmj.40.463.290

Stack HG. Tumors of the hand. Br Med J 1960; 1: 919-22. http://dx.doi.org/10.1136/bmj.1.5177.919

Shapiro PS, Seitz WH Jr. Non-neoplastic tumors of the hand and upper extremity. Hand Clin 1995; 11: 133-60.

de Silva MV, Reid R. Myositis ossificans and fibroosseous pseudotumor of digits: a clinicopathological review of 64 cases with emphasis on diagnostic pitfalls. Int J Surg Pathol 2003; 11: 187-95. http://dx.doi.org/10.1177/106689690301100305

Jiang ZM, Zhang HZ, Chen JQ, et al. Clinicopathologic analysis of 154 cases of tumors and tumor-like lesions in the bones of hands and feet. Zhonghua Bing Li Xue Za Zhi 2003; 32(5): 417-421.

Ergun T, Lakadamyali H, Derincek A, et al. Magnetic resonance imaging in the visualization of benign tumors and tumor-like lesions of hand and wrist. Curr Probl Diagn Radiol 2010; 39: 1-16. http://dx.doi.org/10.1067/j.cpradiol.2009.01.002

Horcajadas AB, Lafuente JL, de la Cruz Burgos R, et al. Ultrasound and MR findings in tumor and tumor-like lesions of the fingers. Eur Radiol 2003; 13: 672-85.

Theumann N, Baur A, Hauger O, et al. Imaging of tumors and tumor-like diseases of the hand. Rev Med Suisse 2005; 1(46): 2983-88.

Johnson J, Kilgore E, Newmeyer W. Tumorous lesions of the hand. J Hand Surg Am 1985; 10: 284-286.

Nahra ME, Bucchieri JS. Ganglion cysts and other tumor related conditions of the hand and wrist. Hand Clin 2004; 20: 249-60. http://dx.doi.org/10.1016/j.hcl.2004.03.015

Jozsa L, Renner A. Tumors and tumor-like lesions arising in tendons. A clinicopathological study of 75 cases. Arch Orthop Trauma Surg 1991; 110: 83-86.

Geldmacher J, Flugel M. Tumors and tumor-like lesions of the hand. Handchirurgie 1977; 9(2): 97-103.

Forthman CL, Blazar PE. Nerve tumors of the hand and upper extremity. Hand Clin 2004; 20: 233-42. http://dx.doi.org/10.1016/j.hcl.2004.03.003

Besser E, Roessner A, Brug E, et al. Bone tumors of the hand. A review of 300 cases documented in the Westphalian Bone Tumor Register. Arch Orthop Trauma Surg 1987; 106: 241-47. http://dx.doi.org/10.1007/BF00450462

Grunert JG, Jakubietz MG, Jakubietz RG. Tumors of the hand - results of a long- term study. Handchir Mikrochir Plast Chir 2004; 36: 289-295.

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Published

2012-07-15

How to Cite

Badr AbdullGaffar. (2012). Neoplasms and Tumor-Like Lesions of the Hand . Journal of Analytical Oncology, 1(2),  192–197. https://doi.org/10.6000/1927-7229.2012.01.02.10

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