Cavit Ali, Özcanli Haluk, Sançmiş Mesut, Ocak Güzide Ayşe, Gürer Elif İnanç
Department of Orthopaedics & Traumatology, Akdeniz University Faculty of Medicine, ANTALYA, TURKEY.
Turk Patoloji Derg. 2018;34(1):66-72. doi: 10.5146/tjpath.2017.01413.
Knowledge concerning treatment and care of hand lesions is often based on small case series, case reports and a few large general case series. The aim of this study is to present our experience with hand tumors' and tumor-like lesions' incidence, age range and localizations.
Between 2006-2016, 402 patients operated and histopathologically diagnosed with bone and soft tissue tumorous conditions of the hand were evaluated retrospectively.
Three hundred sixty one out of 402 cases (89.8%) were soft tissue tumors and 41 cases (10.2%) were osseous tumors of the hand. A total of 10 malignant tumors (2.5%) were encountered in the hand. The average age of the patients was 41.9 years (ranged from 1 to 83 years). Among 361 soft tissue tumors, only 6 cases (1.6%) were malignant and they were squamous cell tumors (n=5) and synovial sarcoma (n=1). The most common soft tissue pathology was ganglion cyst (n=125). The most common bone tumor was enchondroma, diagnosed in 26 patients (6.4% of all patients). Primary malignant bone tumors were extremely rare in the hand; one osteosarcoma and one chondrosarcoma were reported. Metastatic tumors to the hand were seen in two patients; and they were lung carcinoma and chondrosarcoma metastasis.
Up-date knowledge and a thorough understanding of the nature and demographic characteristics of the tumorous conditions of the hand are crucial for accurate diagnosis and appropriate treatment.
关于手部病变治疗和护理的知识通常基于小病例系列、病例报告以及少数大型综合病例系列。本研究的目的是介绍我们在手部肿瘤及肿瘤样病变的发病率、年龄范围和部位方面的经验。
回顾性评估2006年至2016年间接受手术并经组织病理学诊断为手部骨与软组织肿瘤疾病的402例患者。
402例病例中，361例（89.8%）为软组织肿瘤，41例（10.2%）为手部骨肿瘤。手部共发现10例恶性肿瘤（2.5%）。患者的平均年龄为41.9岁（年龄范围为1至83岁）。在361例软组织肿瘤中，仅6例（1.6%）为恶性，分别为鳞状细胞肿瘤（n = 5）和滑膜肉瘤（n = 1）。最常见的软组织病理类型是腱鞘囊肿（n = 125）。最常见的骨肿瘤是内生软骨瘤，26例患者被诊断为此病（占所有患者的6.4%）。手部原发性恶性骨肿瘤极为罕见；报告了1例骨肉瘤和1例软骨肉瘤。有2例患者出现手部转移瘤；分别为肺癌和软骨肉瘤转移。
更新知识并深入了解手部肿瘤疾病的性质和人口统计学特征对于准确诊断和恰当治疗至关重要。
