Frequency of Painful Benign Tumors of the Hand in Patients presenting to the Hand and Upper Limb Surgery Combined Military Hospital Lahore.
Abstract
Objective: To determine the frequency of painful benign soft tissue and bony tumors of the hand in patients presenting to the Hand And Upper Limb Surgery (HULS) Combined Military Hospital Lahore.
Methods: This descriptive study was conducted in the department of Hand and Upper Limb Surgery (HULS) Combined Military Hospital Lahore from 27th May 2017 to 27th May 2022.All adults patients of both gender with pain and or swelling of fingers and palm and fulfilling the inclusion criteria were investigated for soft tissue and osseous tumors. The receiver operative characteristics (ROV) curve was used to look at continuous factors like age and tumor size. Fisher's exact test was used to determine the likelihood of malignancy.
Results: The total number of patients with benign tumors of the hand were 49. Male patients were 29(59.1% ) and females were 20(40.8%). The mean age was 39±3.1 years. Soft tissue tumors were diagnosed in 30 (61.2%) patients and bone tumors in 19 (38.7%) patients. Glomus tumor was the most common soft tissue detected in 12 (40%) patients. Enchondroma was the most common bone tumor noted in 9 (56.2%) patients. Majority (46.6%, n=14) soft tissue tumors predominantly involved palm of the hand while bony tumors were located on phalanges in 16(84%,) patients.
Conclusion: The frequency of painful benign soft tissue tumors of the hand were more than bony tumors. Soft tissue tumors were located on palms and bony tumors on phalanges in majority of our patients.
References
Athanasian EA. Bones and Soft Tissue Tumors. In: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen M, editors. Green's Operative Hand Surgery. 6th ed. Elsevier: Churchill Livingstone; 2011. pp. 2141–95.
Garcia J, Bianchi S. Diagnostic imaging of tumors of the hand and wrist. Eur Radiol. 2001;11(8):1470-1482.
Kransdorf MJ, Meis JM. From the archives of the AFIP. Extraskeletal osseous and cartilaginous tumors of the extremities. Radiographics. 1993;13(4):853-884.
Ogura K, Higashi T, Kawai A. Statistics of bone sarcoma in Japan: Report from the Bone and Soft Tissue Tumor Registry in Japan. J Orthop Sci. 2017 ;22(1):133-143.
Sobanko JF, Dagum AB, Davis IC, Kriegel DA. Soft tissue tumors of the hand. 1. Benign. Dermatol Surg. 2007;33(6):651-667.
Sobanko JF, Dagum AB, Davis IC, Kriegel DA. Soft tissue tumors of the hand. 2. Malignant. Dermatol Surg. 200733(7):771-785.
Simon MJ, Pogoda P, Hovelborn F, Krause M, Zustin J, Amling M, et al. Incidence, histopathologic analysis and distribution of tumours of the hand. BMC Musculoskelet Disord.2014;15:182. doi: 10.1186/1471-2474-15-182.
Unni KK, Inwards CY. Introduction and scope of study. In: Dahlin’s bone tumors. Philadelphia: Wolters Kluwer, 2010, pp. 1–8.
Tang ZH, Rajaratnam V, Desai V. Incidence and anatomical distribution of hand tumours: a Singapore study. Singapore Med J. 201758(12):714-716.
Nepal P, Songmen S, Alam SI, Gandhi D, Ghimire N, Ojili V. Common Soft Tissue Tumors Involving the Hand with Histopathological Correlation. J Clin Imaging Sci. 2019 ;9:15. doi: 10.25259/JCIS-6-2019.
Unni, KK, Inwards, CY. Chondrosarcoma. In: Dahlin’s bone tumors. Philadelphia: Wolters Kluwer, 2010, pp. 60–91.
Puhaindran ME, Athanasian EA. Malignant and metastatic tumors of the hand. J Hand Surg Am. 2010;35(11):1895-900;
Payne WT, Merrell G. Benign bony and soft tissue tumors of the hand. J Hand Surg Am. 2010 ;35(11):1901-1910.
Campbell DA, Millner PA, Dreghorn CR. Primary bone tumours of the hand and wrist. J Hand Surg Br. 1995 ;20(1):5-7.
Lin PP, Guzel VB, Pisters PW, Zagars GK, Weber KL, Feig BW, et al. Surgical management of soft tissue sarcomas of the hand and foot. Cancer. 2002;95(4):852-861.
Pradhan A, Cheung YC, Grimer RJ, Peake D, Al-Muderis OA, Thomas JM, et al. Soft-tissue sarcomas of the hand: oncological outcome and prognostic factors. J Bone Joint Surg Br. 2008 ;90(2):209-214.
Bray PW, Bell RS, Bowen CV, Davis A, O'Sullivan B. Limb salvage surgery and adjuvant radiotherapy for soft tissue sarcomas of the forearm and hand. J Hand Surg Am. 1997;22(3):495-503.
Puhaindran ME, Healey JH, Athanasian EA. Single ray amputation for tumors of the hand. Clin Orthop Relat Res. 2010;468(5):1390-1395.
Puhaindran ME, Steensma MR, Athanasian EA. Partial hand preservation for large soft tissue sarcomas of the hand. J Hand Surg Am. 2010 ;35(2):291-295.
Myhre-Jensen O. A consecutive 7-year series of 1331 benign soft tissue tumours. Clinicopathologic data. Comparison with sarcomas. Acta Orthop Scand. 1981 ;52(3):287-293.
Persson BM, Rydholm A. Soft-tissue masses of the locomotor system. A guide to the clinical diagnosis of malignancy. Acta Orthop Scand. 1986 ;57(3):216-219.
Goldblum, JR, Weiss, SW. Malignant soft tissue tumors of uncertain type. In: Enzinger and Weiss’s soft tissue tumors. St. Louis: Elsevier, Mosby Inc., 2008: 1161–1220.
Goldblum, JR, Weiss, SW. Rhabdomyosarcoma. In: Enzinger and Weiss’s soft tissue tumors. St. Louis: Elsevier, Mosby Inc., 2008: 595–631.
Smolinski KN, Yan AC. Hemangiomas of infancy: clinical and biological characteristics. Clin Pediatr (Phila). 2005 ;44(9):747-766.
