Civan Osman, Cavit Ali, Pota Kaan, Özcanlı Haluk
Akdeniz Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Kliniği, 07070 Kampüs, Antalya, Türkiye.
Jt Dis Relat Surg. 2020;31(2):341-345. doi: 10.5606/ehc.2020.74972. Epub 2020 Jun 18.
This study aims to evaluate the distribution and prevalence of pediatric hand tumors and tumor-like lesions according to age and gender.
We retrospectively examined the details of hospital records of 646 patients who were operated for hand mass between January 2009 and January 2019 and whose pathological diagnosis was established in the same hospital. A total of 54 patients (18 males, 36 females; mean age 12.07 years; range, 3 month to 17 years) under 18 years of age who had been operated for the wrist or hand mass were included in the study.
Out of 54 tumors, 53 were benign (98%) and one was malignant (2%). There were 42 soft tissue tumors (78%) and 12 bone tumors (22%). The most common soft tissue mass was ganglion cyst (n=12). Six out of 12 ganglion cysts were on the dorsal side of hand or wrist and six were on the volar side. The distribution of the tumors according to gender was not statistically significant (p=0.73). We had two recurrences: one patient with giant cell tumor of the tendon sheath and one with palmar fibromatosis.
Pediatric hand/wrist masses are mostly benign tumorous conditions. The location of the pathologies may be different from the adults. Diagnosis of the tumor should be established carefully clinically and radiologically while malignant tumors should be kept in mind by both pediatricians and orthopedic surgeons.
本研究旨在评估儿童手部肿瘤及肿瘤样病变按年龄和性别的分布情况及患病率。
我们回顾性研究了2009年1月至2019年1月期间在同一家医院接受手部肿块手术且病理诊断明确的646例患者的医院记录细节。本研究纳入了54例18岁以下因手腕或手部肿块接受手术的患者（男性18例，女性36例；平均年龄12.07岁；范围3个月至17岁）。
54例肿瘤中，53例为良性（98%），1例为恶性（2%）。有42例软组织肿瘤（78%）和12例骨肿瘤（22%）。最常见的软组织肿块是腱鞘囊肿（n = 12）。12例腱鞘囊肿中，6例位于手或腕背侧，6例位于掌侧。肿瘤按性别分布无统计学意义（p = 0.73）。我们有2例复发：1例腱鞘巨细胞瘤患者和1例掌腱膜挛缩症患者。
儿童手部/腕部肿块大多为良性肿瘤性疾病。其病变部位可能与成人不同。临床和影像学上应仔细进行肿瘤诊断，儿科医生和骨科医生都应警惕恶性肿瘤。
