Rare Benign Tumors and Tumor-like Lesions of the Hand without Skin Damage-Clinical, Imagistic and Histopathological Diagnosis, Retrospective Study.

Autor: Pertea M; Department Plastic Surgery and Reconstructive, Faculty of Medicine,'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.; Department of Plastic Surgery and Reconstructive Microsurgery, 'Sf. Spiridon' Emergency County Hospital, 700111 Iasi, Romania., Grosu OM; Department Plastic Surgery and Reconstructive, Faculty of Medicine,'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.; Department of Plastic Surgery and Reconstructive Microsurgery, 'Sf. Spiridon' Emergency County Hospital, 700111 Iasi, Romania., Filip A; Department Plastic Surgery and Reconstructive, Faculty of Medicine,'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.; Department of Orthopaedics and Traumatology, 'Sf. Spiridon' Emergency County Hospital, 700111 Iasi, Romania., Moraru DC; Department Plastic Surgery and Reconstructive, Faculty of Medicine,'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.; Department of Plastic Surgery and Reconstructive Microsurgery, 'Sf. Spiridon' Emergency County Hospital, 700111 Iasi, Romania., Luca S; Department Plastic Surgery and Reconstructive, Faculty of Medicine,'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.; Department of Plastic Surgery and Reconstructive Microsurgery, 'Sf. Spiridon' Emergency County Hospital, 700111 Iasi, Romania., Fotea MC; Department of Plastic Surgery and Reconstructive Microsurgery, 'Sf. Spiridon' Emergency County Hospital, 700111 Iasi, Romania., Lunca S; Department Plastic Surgery and Reconstructive, Faculty of Medicine,'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.; Second Surgical Clinic, Regional Institute of Oncology, 700483 Iasi, Romania., Olinici D; Department Plastic Surgery and Reconstructive, Faculty of Medicine,'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.; Department of Dermatology, 'Sf. Spiridon' Emergency County Hospital, 700111 Iasi, Romania., Poroch V; Department Plastic Surgery and Reconstructive, Faculty of Medicine,'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.; Department of Palliative Care, Regional Institute of Oncology, 700483 Iasi, Romania., Carp C; Department Plastic Surgery and Reconstructive, Faculty of Medicine,'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.; Department of Orthopaedics and Traumatology, 'Sf. Spiridon' Emergency County Hospital, 700111 Iasi, Romania., Veliceasa B; Department Plastic Surgery and Reconstructive, Faculty of Medicine,'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.; Department of Orthopaedics and Traumatology, 'Sf. Spiridon' Emergency County Hospital, 700111 Iasi, Romania.
Jazyk: angličtina
Zdroj: Diagnostics (Basel, Switzerland) [Diagnostics (Basel)] 2023 Mar 22; Vol. 13 (6). Date of Electronic Publication: 2023 Mar 22.
DOI: 10.3390/diagnostics13061204
Abstrakt: Background: The broad spectrum of diagnoses and clinical features of hand tumors and the absence of pathognomonic signs often lead to an inaccurate or delayed diagnosis. However, only a few reports have comprehensively referenced the diagnosis and clinical features of hand tumors. This study intends to highlight the clinical, imaging and histological characteristics of uncommon hand tumors or tumor-like lesions.
Methods: In this retrospective study, we report a series of 80 patients diagnosed with rare hand tumors and tumor-like lesions without skin damage. Age, gender, tumor location, imaging examinations and clinical and laboratory findings were analyzed. The histopathological exam established the final diagnosis. Surgery was indicated and performed in all cases.
Results: This study included: neurofibroma, glomus tumor, lipoma, schwannoma, epidermal inclusion cyst and idiopathic tenosynovitis with "rice bodies." We have described the clinical, imagistic and histopathological particularities of these tumors. Surgical management included the complete removal of tumors, with no recurrence recorded within two years and overall high patient satisfaction. The most common findings were lipomas and the rarest neurofibromas.
Conclusions: To optimize the care of hand tumors and reduce diagnostic and treatment errors, knowledge of hand tumor types and their clinical and laboratory characteristics is necessary for every surgeon.
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje