Averill R M, Smith R J, Campbell C J
J Hand Surg Am. 1980 Jan;5(1):39-50. doi: 10.1016/s0363-5023(80)80042-6.
Twenty-eight giant-cell tumors of the bones of the hands of 21 patients were reviewed. There were 14 lesions in the phalanges, 12 in the metacarpals, and two in the carpal bones. Giant-cell tumor of bones develop at a younger age, have a shorter duration of symptoms, and recur more rapidly when they occur in the hand than when they occur in other locations. Curettage was found to be ineffective as a method of treatment; 13 of 15 tumors treated by curettage recurred. Amputation or local resection is recommended. Since there is an 18% incidence of multicentric foci of giant-cell tumors of the hand, bone scan is advised when these tumors occur in the hand.
回顾了21例患者手部骨骼的28个骨巨细胞瘤。其中14个病变位于指骨，12个位于掌骨，2个位于腕骨。骨巨细胞瘤在手部发病时患者年龄较轻，症状持续时间较短，且与发生在其他部位相比复发更快。刮除术被发现作为一种治疗方法无效；15例接受刮除术治疗的肿瘤中有13例复发。建议截肢或局部切除。由于手部骨巨细胞瘤多中心病灶的发生率为18%，当这些肿瘤发生在手部时建议进行骨扫描。
