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手部肿瘤566例分析 总被引:4,自引:4,他引:0
目的 探讨手部软组织肿瘤和骨肿瘤的发病情况.方法 对1985年1月至2006年12月期间,治疗并经病理证实的手部软组织肿瘤和骨肿瘤566例进行回顾性分析.结果 手部软组织肿瘤以血管瘤最为多见.余依次为腱鞘巨细胞瘤、腱鞘囊肿、血管球瘤等;骨肿瘤以内生软骨瘤最为多见,骨软骨瘤、骨巨细胞瘤偶有发生;手部骨转移癌较少见.结论 手部软组织肿瘤和骨肿瘤以良性肿瘤最为多见,采取积极、合理的治疗效果满意.手部恶性肿瘤和转移癌偶发,应引起注意并加以鉴别. 相似文献
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It is important to be familiar with the wide variety of benign tumors that may present in everyday hand surgery practice. The treatment of many of these tumors in the hand is based on studies with small numbers of patients or the treatment of similar lesions elsewhere in the body. The purpose of this review is to summarize the recent literature relevant to benign bony and soft tissue tumors in the hand. 相似文献
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Neverov VA Dadalov MI Rodomanova LA Serb SK 《Vestnik khirurgii imeni I. I. Grekova》2004,163(5):65-67
The article is devoted to an actual problem of surgical treatment of hand bone tumors. It presents a classification of hand bone tumors, pathogenesis, clinical course of the most common tumors, methods of surgical treatment. Results of treatment of 108 patients with hand bone tumors are described. 相似文献
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JOSEPH F. SOBANKO MD ALEXANDER B. DAGUM MD IRA C. DAVIS MD DAVID A. KRIEGEL MD 《Dermatologic surgery》2007,33(7):771-785
Soft tissue tumors of the hand arise from skin, subcutaneous tissue, tendons, nerve, and blood vessels. Many of these lesions occur on other parts of the body; however, the hand remains a unique site because these tumors have symptoms, appearances, treatments, and prognoses that may be quite different than when on other parts of the body. Their characteristics and the severity of symptoms vary markedly depending on the exact location, size, and type of tumor—and many of these tumors can have multiple forms of presentation. Two articles are intended to provide an overview of benign (previous article) and malignant tumors (this article) of the hand. The rarer and more deleterious tumors are discussed in detail while the common tumors and epidermal lesions with which practitioners are familiar are briefly overviewed. At the completion of these review articles, participants should be able to identify and diagnose various benign and malignant hand tumors as well as understand the accepted current treatment of these growths. 相似文献
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JOSEPH F. SOBANKO MD ALEXANDER B. DAGUM MD IRA C. DAVIS MD DAVID A. KRIEGEL MD 《Dermatologic surgery》2007,33(6):651-667
Soft tissue tumors of the hand arise from skin, subcutaneous tissue, tendons, nerve, and blood vessels. Many of these lesions occur on other parts of the body; however, the hand remains a unique site because these tumors have symptoms, appearances, treatments, and prognoses that may be quite different than when on other parts of the body. Their characteristics and the severity of symptoms vary markedly depending on the exact location, size, and type of tumor-and many of these tumors can have multiple forms of presentation. Two articles are intended to provide an overview of benign (this article) and malignant tumors (subsequent issue) of the hand. The rarer and more deleterious tumors are discussed in detail while the common tumors and epidermal lesions with which practitioners are familiar are briefly overviewed. At the completion of these review articles, participants should be able to identify and diagnose various benign and malignant hand tumors as well as understand the accepted current treatment of these growths. 相似文献
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Benign and malignant tumors of the hand are rare in children. This article reviews some of the common tumors that affect the hand in children, with an emphasis on clinico-pathologic correlations. Illustrated case histories on some rare tumors are also included. 相似文献
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Giant-cell tumors of the tendon sheath correspond to a localized form of pigmented villonodular synovitis. GCTTS typically occur in the hand where they represent the second most common type of soft tissue tumors after synovial ganglions. The etiology of giant cell tumors of the tendon sheath is unknown. Pathogenetic theories have included inflammatory process, trauma, immune mechanisms, neoplasia. Giant cell tumors usually present as a solitary and firm slow-growing nodular lesion, which affects the volar aspect of the hand. Multifocal lesions are rarely described in the literature and commonly involve the same finger or the volar aspect of different fingers. We report a rare case of three separate GCT occurring on both aspects of the hand thus raising the question of their etiology. 相似文献
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This article presents the current understanding of soft tissue hand tumors and the best options for treating them. The majority of soft tissue hand tumors are benign. Discussion includes hand tumors of fibrous and adipose tissue origin, determining the diagnostic and therapeutic pathways for these tumors, and controversial treatment issues. 相似文献
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Lincoski CJ Harter GD Bush DC 《American journal of orthopedics (Belle Mead, N.J.)》2007,36(3):E32-E36
We used a hand surgeon's 1978-1994 pathology reports to retrospectively review the incidence, preoperative and postoperative diagnoses, and presenting signs and symptoms of benign nerve tumors. Twenty-four (11.5%) of our series of 208 soft-tissue tumors of the hand and the forearm were benign nerve tumors. Nerve tumors were the third most common tumor after giant cell tumors of tendon sheath and inclusion cysts. Correct preoperative diagnosis was made in only 1 (4.2%) of the 24 cases. Schwannomas and neurofibromas were equally distributed (12 each), and 2 cases of neurofibromatosis (8.3%) were documented. Two (16.7%) of the 12 patients with schwannomas and 4 (33.3%) of the 12 patients with neurofibromas had neurologic symptoms. Six (85.7%) of the 7 digital tumors were dorsally located. In the literature, incidence of benign nerve tumors is much lower (ie, 1%-5%), and preoperative diagnosis consistently incorrect in our study. Incidence of neurologic symptoms (numbness, paresthesia) as presenting symptoms was higher in our study than previously documented. Although benign nerve tumors are most often located on the volar surface of the hand, 25% of the lesions we found were on the dorsal surface of the fingers. 相似文献
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Malignant tumors of the hand are rare, although there remain many instances in which marginal excisions are performed for unsuspected malignant hand lesions. Suboptimal biopsy incisions and inadvertent contamination during these excisions may result in larger resections or amputations being necessary to ensure complete removal of the tumor with negative margins. This article provides an update for the current management of patients with primary malignant and metastatic tumors of the hand, including the roles of adjuvant radiotherapy and chemotherapy for the more common hand tumors. 相似文献
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《Diagnostic and interventional imaging》2015,96(12):1293-1306
The assessment of a swelling or mass of the wrist or the hand is commonly performed by radiologists. Because cysts on the wrist are, by far, the most frequent pathology. Diagnosis is usually based on standard radiography and ultrasound alone. Additional imaging techniques, and in particular MR imaging, are necessary to assess tumors, although malignant tumors of the hand are rare. Some benign cysts have pathognomonic characteristics visible on imaging. By understanding them, treatment planning may be improved. 相似文献
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Peripheral nerve tumors in the upper extremity 总被引:1,自引:0,他引:1
D S Louis 《Hand Clinics》1987,3(2):311-318
Peripheral nerve tumors involving the hand and upper extremity are rare. The types of tumors are few and they can usually be suspected on clinical grounds. The hand surgeon should have a knowledge of the diagnostic possibilities and the treatment options. 相似文献
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手部肿瘤2 397例的临床研究 总被引:2,自引:1,他引:1
目的探讨手部肿瘤的发病特点及治疗体会。方法总结1985年以来,经手术治疗及病理诊断的2397例手部肿瘤的患者,就其发病特点、临床诊断和治疗进行回顾性分析。结果手部软组织肿瘤多于骨组织肿瘤,恶性肿瘤极为少见。软组织肿瘤中以血管瘤最为多见,其次为滑膜瘤和血管球瘤;骨肿瘤以软骨瘤最为多见;恶性肿瘤以黑色素瘤多见,多发于甲下;类肿瘤在手部肿物中占有较大的比例。结论手部肿瘤易于早期诊断,从功能学及美容学的角度,应提倡尽早手术。 相似文献
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T J Palmieri 《Hand Clinics》1987,3(2):225-240
Although blood vessel tumors are rare, they are frequently encountered in the hand and forearm, being the fourth most common tumor of the hand. The treating physician should be aware of the acquired, traumatic, and congenital vascular tumors that are so prevalent in this area. 相似文献
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Buecker PJ Villafuerte JE Hornicek FJ Gebhardt MC Mankin HJ 《The Journal of hand surgery》2006,31(3):452-455
PURPOSE: To evaluate survival characteristics of malignant hand tumors compared with those occurring in other musculoskeletal locations over a 30-year period. METHODS: Patients were identified through a computerized database maintained at the authors' institution over the past 30 years. Each patient's records were reviewed retrospectively. Diagnoses were categorized and survival data for patients with hand malignancies were compared with those of patients having similar tumors in other musculoskeletal sites by using multivariate statistical analysis. RESULTS: The most common malignancies were epitheloid sarcoma, synovial sarcoma, and malignant fibrous histiocytoma. Improved survival during the follow-up period was found for hand malignancies versus those occurring in other musculoskeletal sites as a whole, and this difference was statistically significant. No significant survival benefit was identified for individual tumors. CONCLUSIONS: Patients presenting with primary malignancies of the hand may survive longer than those with similar tumors in other musculoskeletal locations TYPE OF STUDY/LEVEL OF EVIDENCE: Prognostic, Level II. 相似文献
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Intraoperative exploration of the liver and complete abdominal examination are essential before hepatic resection for patients with liver tumors. The surgeon's eye and hand, traditional methods of exploration, are still accurate for abdominal exploration, screening of small superficial liver tumors and evaluation of non-tumoral liver parenchyma. Intraoperative ultrasonography is often superior to preoperative screening methods in diagnosing small liver tumors. Intraoperative ultrasonography identifies variations of intrahepatic vascular structures and reveals exact location of tumors according to functional anatomy. The surgeon's eye and hand and intraoperative ultrasound are complementary for a complete exploration, and may affect operative decision making. Laparoscopy and laparoscopic ultrasonography, when diagnosing non resectable tumors, reduce the number of unnecessary laparotomies. However, the effectiveness of exploration by laparoscopy and laparoscopic ultrasonography is lower than that of laparotomy, which remains indispensable before hepatic resection for malignant tumors. 相似文献