Wollina Uwe, Tempel Sven, Albert Wolfgang, Hansel Gesina, Heinig Birgit
Academic Teaching Hospital Dresden, Department of Dermatology and Allergology, Dresden, Germany.
Department of Trauma, Reconstructive, and Hand Surgery, Städtisches Klinikum Dresden, Dresden, Germany.
Open Access Maced J Med Sci. 2019 Mar 14;7(5):791-793. doi: 10.3889/oamjms.2019.200. eCollection 2019 Mar 15.
Cutaneous squamous cell carcinoma (SCC) of the hand is the most common soft-tissue malignancy in this particular region. A literature survey suggested a higher rate of metastases in advanced SCC of the hand compared to head-and-neck cutaneous SCC.
An 84-year-old man presented with an ulcerated firm tumour on the dorsum of his right hand. A diagnostic biopsy confirmed the diagnosis SCC. Imaging suggested an involvement of the tendons of digits 3 and 4. A diagnostic ultrasound suggested a loco-regional axillary lymph node metastasis. After discussion in the interdisciplinary tumour board, amputation of the affected digits followed by lymph node excision was recommended.
Advanced SCC of the hand requires interdisciplinary management. Amputation is part of the surgical spectrum in advanced cases.
手部皮肤鳞状细胞癌（SCC）是该特定区域最常见的软组织恶性肿瘤。文献调查表明，与头颈部皮肤SCC相比，手部晚期SCC的转移率更高。
一名84岁男性右手背出现一个溃疡的坚实肿瘤。诊断性活检确诊为SCC。影像学检查提示第3和第4指肌腱受累。诊断性超声提示腋窝局部淋巴结转移。在多学科肿瘤委员会讨论后，建议切除患指并随后切除淋巴结。
手部晚期SCC需要多学科管理。截肢是晚期病例手术治疗的一部分。
