Lans Jonathan, Yue Kai-Lou C, Castelein René M, Suster David I, Petur Nielsen G, Chen Neal C, Lozano-Calderon Santiago A
Harvard Medical School, Boston, MA, USA.
University Medical Center Utrecht, The Netherlands.
Hand (N Y). 2022 May;17(3):519-528. doi: 10.1177/1558944720928499. Epub 2020 Jul 15.
Benign soft-tissue tumors of the hand are more common than both their benign bone and malignant soft-tissue counterparts. This study evaluates the characteristics and treatment of benign soft tissue tumors in light of 1 institution's experience. Histologically confirmed benign soft-tissue tumors of the hand were retrospectively identified using International Classification of Disease codes from 1992 to 2015. A medical chart review was conducted to collect patient demographics, tumor epidemiology, and treatment. A total of 199 soft-tissue tumors were identified. The median patient age at time of treatment was 47.4 ± 14.7 years in age. The majority of tumors were located in the digits (n = 168, 84%) and treated by excision (n = 191, 96%). Localized type tenosynovial giant cell tumors (n = 71, 36%) were the most common and had the highest rates of recurrence (8.5%) in this series. Other frequent histologies included hemangioma, schwannoma, and glomus tumors. Awareness and understanding of tumor characteristics may help physicians with diagnosis and treatment. There is an extensive variety of tumors, but the principles of clinical and imaging diagnosis are common to all of them. Marginal excision for the treatment pain, improvement of function, and cosmetic correction applies to all these tumors independent of the histology.
手部良性软组织肿瘤比其良性骨肿瘤和恶性软组织肿瘤更为常见。本研究根据一家机构的经验评估手部良性软组织肿瘤的特征和治疗方法。使用1992年至2015年的国际疾病分类代码，对经组织学确诊的手部良性软组织肿瘤进行回顾性识别。进行病历审查以收集患者人口统计学、肿瘤流行病学和治疗信息。共识别出199例软组织肿瘤。治疗时患者的中位年龄为47.4±14.7岁。大多数肿瘤位于手指（n = 168，84%），并通过切除治疗（n = 191，96%）。局限性腱鞘巨细胞瘤（n = 71，36%）是最常见的，在本系列中复发率最高（8.5%）。其他常见的组织学类型包括血管瘤、神经鞘瘤和血管球瘤。了解和认识肿瘤特征可能有助于医生进行诊断和治疗。肿瘤种类繁多，但临床和影像学诊断原则对所有肿瘤都是通用 的。针对疼痛、功能改善和美容矫正的边缘性切除适用于所有这些肿瘤，与组织学类型无关。
