Strube H D, Kirschner P, Schneider M
Handchirurgie. 1979;11(2):113-8.
The diagnosis and treatment of tumors of the skeleton of the hand are reviewed. Benign enchondromas were found to be the most common. Primary osteogenetic sarcoma was rare as was malignant degeneration in initially benign tumors and in the bony manifestations of systemic disease such as neurofibromatosis or hyperparathyroidism. Tumors were more common in phalanges and metacarpals than in the carpus and showed their highest incidence in the 4th decade. Diagnosis was aided by angiography and bone-scanning. Some difficulties were encountered in pathological examination. Treatment involved curettage and cancellous grafting in small tumors, en bloc resection followed by osteosynthetic stabilisation in larger instances and radical ablation followed by chemotherapy in malignancy.
本文综述了手部骨骼肿瘤的诊断与治疗。发现良性内生软骨瘤最为常见。原发性骨肉瘤罕见，初始为良性的肿瘤以及诸如神经纤维瘤病或甲状旁腺功能亢进等全身性疾病的骨表现发生恶性变也很罕见。肿瘤在指骨和掌骨比在腕骨更常见，且在第四个十年发病率最高。血管造影和骨扫描有助于诊断。病理检查存在一些困难。治疗方法包括小肿瘤采用刮除术和松质骨移植，较大肿瘤采用整块切除并随后进行骨内固定，恶性肿瘤则采用根治性切除并随后进行化疗。
