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An Evaluation Excisional Biopsy Results of Hand and Wrist With Tumor of The Patients

Year 2014, , 55 - 61, 01.01.2014

Hakan Sarman Cengiz Işık Abdullah Alper Şahin Tolgahan Kuru Hasan Kızılay Şemsi Taştan Birsen Besinli Tuncay Baran Cengizhan Kantar

https://doi.org/10.5505/abantmedj.2014.30602

Abstract

OBJECTIVE: The hand and wrist tumors are different from other side of body’s tumor. Tumors in any part of the musculoskeletal system may also be seen on the hand. However, the tumors of the hand are being early operated because of cosmetic reasons, limited range of motion of the joint, pain, swelling due to concerns malign tumor.METHODS: In this study, excisional biopsy results of hand and wrist cases presented from Gölcük Necati Çelik State Hospital orthopedics and traumatology clinic were evaluated to retrospectively.RESULTS: Thirty patients mean age 37.6 14-79 years, were enrolled into the study, 9 of the cases were male and 21 were female patients. The tumors of excised were the number of 18 tumors from right upper extremity, the number of 12 tumors from left upper extremity, the number of 8 tumors from palmar surface, the number of 22 tumors from dorsal surface. As a result of pathology, 29 tumors were benign character, 1 tumor was malign character.CONCLUSION: The most common of the patients were seemed ganglion cyst because our hospital was in the industrial area. The results of study are similar in the literature. However, our study was not multi-center study and lack of patient registration system that the encountered cases are less than expected numbers.

Keywords

Hand and wrist tumor excision result

References

  • 1. Plate AM, Lee SJ, Steiner G, Posner MA. Tumorlike lesions and benign tumors of the hand and the wrist. J Am Acad Orthop Surg 2003;11: 129-141.
  • 2. Athanasian EA, Bone and Soft Tissue Tumors, Green’s Operative Hand Surgery, 5th ed. Pennsylvania: Elsevier Churchill Livingstone; 2005:2211-2263.
  • 3. Shapiro PS, Seitz WH Jr. Non-neoplastic tumors of the hand and upper extremity. Hand Clin 1995;11(2): 133-160.
  • 4. Ingari JV, Faillace JJ. Benign tumors of fibrous tissue and adipose tissue in the hand. Hand Clin 2004;20(3): 243-248.
  • 5. Gude W, Morelli V. Ganglion cysts of the wrist: pathophysiology, clinical picture, and management. Curr Rev Musculoskelet Med 2008;1(3-4): 205-211
  • 6. Nahra ME, Bucchieri JS. Ganglion cysts and other tumor related conditions of the hand and wrist. Hand Clin 2004;20(3): 249-260.
  • 7. Angelides AC. Ganglions of the Hand and the Wrist. Operative Hand Surgery, vol 2, 4th ed. New York, Churchill-Livingstone; 1999:2171–2183.
  • 8. Athanasian EA. Malignant bone and soft tissue sarcomas of the hand. J Am Soc Surg Hand 2004;4(2): 60-72.
  • 9. Puhaindran ME, Athanasian EA. Malignant and metastatic tumors of the hand. J Hand Surg Am 2010;35(11): 1895-1900.
  • 10.Freire V, Guérini H, Campagna R, Moutounet L, Dumontier C, Feydy A, Drapé JL. Imaging of hand and wrist cysts: a clinical approach. AJR Am J Roentgenol 2012;199(5): 618-628.
  • 11.Lanzinger WD, Bindra R. Giant cell tumor of the tendon sheath. J Hand Surg Am 2013;38(1): 154-157.
  • 12.Zeinstra JS, Kwee RM, Kavanagh EC, van Hemert WL, Adriaensen ME. Multifocal giant cell tumor of the tendon sheath: case report and literature review. Skeletal Radiol 2013;42(3): 447-450.
  • 13.Lucas DR. Tenosynovial giant cell tumor: case report and review. Arch Pathol Lab Med 2012;136(8): 901-906.
  • 14.Cribb GL, Cool WP, Ford DJ, Mangham DC. Giant lipomatous tumours of the hand and forearm. J Hand Surg (Br) 2005;30(B5): 509- 512.
  • 15.Walsh JJ, Eady JL. Vascular tumors. Hand Clin 2004;20(3): 261-268.
  • 16.Fleming AN, Smith PJ. Vascular tumours of the hand in children. Hand Clin 2000;16(4): 609-624.
  • 17.L. Andrew Koman, David S. Ruch, Beth P. Smith, Thomas L. Smith, Vascular Disorders, Green’s Operative Hand Surgery, Elsevier, Volume-2, Chapter-64. 2005:2265-313.
  • 18.Jacobs BJ, Anzarut A, Guerra S, Gordillo G, Imbriglia JE. Vascular anomalies of the upper extremity. J Hand Surg Am 2010;35(10): 1703- 1709.
  • 19.Mulliken JB, Enjolnas O. Congenital hemanjiomas and infantile hemangioma; Missing links. J Am Acad Dermatol 2004;50: 875-882.
  • 20.Frieden IJ, Haggstrom AN, Drolet BA, et al. Infantile hemangiomas: Current knowledge, future directions. Proceedings of a research workshop on infantile hemangiomas. Ped Dermatol 2005;22: 383-406.
  • 21.Nahra Mitchell Eksizyon, Bucchieri John S. Ganglion cysts and other tumor releated conditions of the hand and wrist. Hand Clinics 2004;20: 249-260.
  • 22.Saint Onge RA, Jackson IT. An uncommon sequel to thumb trauma: Epidermoid cyst. The Hand 1977;9(1)1: 52-56.
  • 23.Sağlık Y, Atalar H, Armangil M, Başarır K, Yıldız Y, Bilgin S. Management of tumors and tumor-like lesions of the hand: a review of 191 patients. Eklem Hastalik Cerrahisi 2013;24(3): 149-155.
  • 24.Sassoon AA, Fitz-Gibbon PD, Harmsen WS, Moran SL. Enchondromas of the hand: factors affecting recurrence, healing, motion, and malignant transformation. J Hand Surg Am 2012;37(6): 1229-1234.
  • 25.Schwartz HS, Zimmerman NB, Simon MA, Wroble RR, Millar EA, bonfiglio M. The malignant potential of en-chondromatozis J Bone Joint Surg Am 1987;69: 269-274.
  • 26.O’Connor MI, Bancroft LW. Benign and Malignant Carti-lage Tumors of the Hand. Hand Clin 2004;20: 317-323.
  • 27.Tordai P, Hoglund M, Lugnegard H. Is the treatment of enchondroma in the hand by simple curettage a rewar-ding method? J Hand Surg 1990;15: 331-334.
  • 28.Golge UH, Isik C. The Late Recurrence of the Enchondromas After Curettage Treatment in the Hand. Abant Medical Journal 2012;1(3): 185-184.
  • 29.Forthman Christopher L, Blazar Philip E. Nerve tumors of the hand and upper extremity. Hand Clinics 2004;20: 233-242.
  • 30.Payne WT, Merrell G. Benign bony and soft tissue tumors of the hand. J Hand Surg Am 2010;35(11): 1901-1910.
  • 31.Sobanko JF, Dagum AB, Davis IC, Kriegel DA. Soft tissue tumors of the hand. 2. Malignant. Dermatol Surg 2007;33(7): 771-785.
  • 32.Ramirez-Montaño L, Lopez RP, Ortiz NS. Giant lipoma of the third finger of the hand. Springerplus 2013;16;2(1): 164.
  • 33.Muddegowda PH, Lingegowda JB, Ramachandrarao RK, Konapur PG. Calcinosis cutis: report of 4 cases. J Lab Physicians 2011;3(2): 125-126.
  • 34.James WD, Berger TG, Elston DM. 11th ed. Philadelphia (PA): Andrews’ Diseases of the Skin: Clinical Dermatology; Elsevier/Saunders; 2011:516–518.
  • 35.Kayhan TC, Temiz P, Ermertcan AT. Calcinosis cutis on the face. Indian J Dermatol Venereol Leprol 2009;75: 180–181.
  • 36.Lee SS, Felsenstein J, Tanzer FR. Calcinosis cutis circumscripta: treatment with an intralesional corticosteroid. Arch Dermatol 1978;114: 1080-1081.
  • 37.Marleen AMC, Daniel BJ, Michael PW, William WM: Surgical management calcinosis cutis universalis in SLE. Arthritis and Rheumatism 1997;40: 570-572.
  • 38.Mendelson BC, Linscheid RI, Dobyns JH, Muller SA: Surgical treatment of calcinosis cutis in the upper extremity. J Hand Surg (Am) 1977;2: 318-324.
  • 39.Cribier B, Asch P, Grosshans E. Differentiating squamous cell carcinoma from keratoacanthoma using histopathological criteria. Is it possible? A study of 296 cases. Dermatology 1999;199: 208–212.
  • 40.Kane CL, Keehn CA, Smithberger E, Glass LF. Histopathology of cutaneous squamous cell carcinoma and its variants. Semin Cutan Med Surg 2004;23: 54-61.

El ve El Bilek Tümörlü Hastalarda Eksizyonel Biyopsi Sonuçlarının Değerlendirilmesi

Year 2014, , 55 - 61, 01.01.2014

Hakan Sarman Cengiz Işık Abdullah Alper Şahin Tolgahan Kuru Hasan Kızılay Şemsi Taştan Birsen Besinli Tuncay Baran Cengizhan Kantar

https://doi.org/10.5505/abantmedj.2014.30602

Abstract

AMAÇ: El ve el bileği tümörleri vücudun diğer bölgelerindeki tümöral oluşumlardan farklılık gösterir. Kas-iskelet sisteminin herhangi bir yerinde ki tümörler elde de görülebilir. Ancak eldeki kitlelere kozmetik nedenler, hareket kısıtlılığı, ağrı olması, şişlikten dolayı malign tümör olması yönündeki endişelerden dolayı daha erken opere edilmektedir.YÖNTEMLER: Çalışmamızda Gölcük Necati Çelik Devlet Hastanesi Ortopedi ve Travmatoloji Kliniğine başvurup el ve el bileğine uygulanan eksizyonel biyopsi sonuçlarını geriye dönük olarak inceledik.BULGULAR: Çalışmaya dahil edilen toplam 30 olgunun yaş ortalaması 37, 6 14-79 idi, olguların 9’u erkek, 21’ikadındı. Eksize edilen tümörlerin 18 tanesi sağ ekstremiteden, 12 tanesi sol üst ekstremiteden, 8 tanesi el palmarından ve 22 tanesi el dorsalindendi. Patoloji sonucunda 29 kitle benign karakterdeyken 1 tanesi malign karakterdeydi.SONUÇ: Hastanenin sanayi yerleşimi olması nedeniyle mesleki açıdan çoğunluğunu gangliyon kisti oluşturmaktadır. Çalışma sonuçları literatürde paralellik göstermektedir. Fakat çalışmanın çok merkezli olmaması ve kayıt sisteminin yetersizliği ki karşılaşılan vakaların beklenen sayıdan daha az olduğunu göstermektedir.

Keywords

El ve el bilek tümör eksizyon sonuç

References

  • 1. Plate AM, Lee SJ, Steiner G, Posner MA. Tumorlike lesions and benign tumors of the hand and the wrist. J Am Acad Orthop Surg 2003;11: 129-141.
  • 2. Athanasian EA, Bone and Soft Tissue Tumors, Green’s Operative Hand Surgery, 5th ed. Pennsylvania: Elsevier Churchill Livingstone; 2005:2211-2263.
  • 3. Shapiro PS, Seitz WH Jr. Non-neoplastic tumors of the hand and upper extremity. Hand Clin 1995;11(2): 133-160.
  • 4. Ingari JV, Faillace JJ. Benign tumors of fibrous tissue and adipose tissue in the hand. Hand Clin 2004;20(3): 243-248.
  • 5. Gude W, Morelli V. Ganglion cysts of the wrist: pathophysiology, clinical picture, and management. Curr Rev Musculoskelet Med 2008;1(3-4): 205-211
  • 6. Nahra ME, Bucchieri JS. Ganglion cysts and other tumor related conditions of the hand and wrist. Hand Clin 2004;20(3): 249-260.
  • 7. Angelides AC. Ganglions of the Hand and the Wrist. Operative Hand Surgery, vol 2, 4th ed. New York, Churchill-Livingstone; 1999:2171–2183.
  • 8. Athanasian EA. Malignant bone and soft tissue sarcomas of the hand. J Am Soc Surg Hand 2004;4(2): 60-72.
  • 9. Puhaindran ME, Athanasian EA. Malignant and metastatic tumors of the hand. J Hand Surg Am 2010;35(11): 1895-1900.
  • 10.Freire V, Guérini H, Campagna R, Moutounet L, Dumontier C, Feydy A, Drapé JL. Imaging of hand and wrist cysts: a clinical approach. AJR Am J Roentgenol 2012;199(5): 618-628.
  • 11.Lanzinger WD, Bindra R. Giant cell tumor of the tendon sheath. J Hand Surg Am 2013;38(1): 154-157.
  • 12.Zeinstra JS, Kwee RM, Kavanagh EC, van Hemert WL, Adriaensen ME. Multifocal giant cell tumor of the tendon sheath: case report and literature review. Skeletal Radiol 2013;42(3): 447-450.
  • 13.Lucas DR. Tenosynovial giant cell tumor: case report and review. Arch Pathol Lab Med 2012;136(8): 901-906.
  • 14.Cribb GL, Cool WP, Ford DJ, Mangham DC. Giant lipomatous tumours of the hand and forearm. J Hand Surg (Br) 2005;30(B5): 509- 512.
  • 15.Walsh JJ, Eady JL. Vascular tumors. Hand Clin 2004;20(3): 261-268.
  • 16.Fleming AN, Smith PJ. Vascular tumours of the hand in children. Hand Clin 2000;16(4): 609-624.
  • 17.L. Andrew Koman, David S. Ruch, Beth P. Smith, Thomas L. Smith, Vascular Disorders, Green’s Operative Hand Surgery, Elsevier, Volume-2, Chapter-64. 2005:2265-313.
  • 18.Jacobs BJ, Anzarut A, Guerra S, Gordillo G, Imbriglia JE. Vascular anomalies of the upper extremity. J Hand Surg Am 2010;35(10): 1703- 1709.
  • 19.Mulliken JB, Enjolnas O. Congenital hemanjiomas and infantile hemangioma; Missing links. J Am Acad Dermatol 2004;50: 875-882.
  • 20.Frieden IJ, Haggstrom AN, Drolet BA, et al. Infantile hemangiomas: Current knowledge, future directions. Proceedings of a research workshop on infantile hemangiomas. Ped Dermatol 2005;22: 383-406.
  • 21.Nahra Mitchell Eksizyon, Bucchieri John S. Ganglion cysts and other tumor releated conditions of the hand and wrist. Hand Clinics 2004;20: 249-260.
  • 22.Saint Onge RA, Jackson IT. An uncommon sequel to thumb trauma: Epidermoid cyst. The Hand 1977;9(1)1: 52-56.
  • 23.Sağlık Y, Atalar H, Armangil M, Başarır K, Yıldız Y, Bilgin S. Management of tumors and tumor-like lesions of the hand: a review of 191 patients. Eklem Hastalik Cerrahisi 2013;24(3): 149-155.
  • 24.Sassoon AA, Fitz-Gibbon PD, Harmsen WS, Moran SL. Enchondromas of the hand: factors affecting recurrence, healing, motion, and malignant transformation. J Hand Surg Am 2012;37(6): 1229-1234.
  • 25.Schwartz HS, Zimmerman NB, Simon MA, Wroble RR, Millar EA, bonfiglio M. The malignant potential of en-chondromatozis J Bone Joint Surg Am 1987;69: 269-274.
  • 26.O’Connor MI, Bancroft LW. Benign and Malignant Carti-lage Tumors of the Hand. Hand Clin 2004;20: 317-323.
  • 27.Tordai P, Hoglund M, Lugnegard H. Is the treatment of enchondroma in the hand by simple curettage a rewar-ding method? J Hand Surg 1990;15: 331-334.
  • 28.Golge UH, Isik C. The Late Recurrence of the Enchondromas After Curettage Treatment in the Hand. Abant Medical Journal 2012;1(3): 185-184.
  • 29.Forthman Christopher L, Blazar Philip E. Nerve tumors of the hand and upper extremity. Hand Clinics 2004;20: 233-242.
  • 30.Payne WT, Merrell G. Benign bony and soft tissue tumors of the hand. J Hand Surg Am 2010;35(11): 1901-1910.
  • 31.Sobanko JF, Dagum AB, Davis IC, Kriegel DA. Soft tissue tumors of the hand. 2. Malignant. Dermatol Surg 2007;33(7): 771-785.
  • 32.Ramirez-Montaño L, Lopez RP, Ortiz NS. Giant lipoma of the third finger of the hand. Springerplus 2013;16;2(1): 164.
  • 33.Muddegowda PH, Lingegowda JB, Ramachandrarao RK, Konapur PG. Calcinosis cutis: report of 4 cases. J Lab Physicians 2011;3(2): 125-126.
  • 34.James WD, Berger TG, Elston DM. 11th ed. Philadelphia (PA): Andrews’ Diseases of the Skin: Clinical Dermatology; Elsevier/Saunders; 2011:516–518.
  • 35.Kayhan TC, Temiz P, Ermertcan AT. Calcinosis cutis on the face. Indian J Dermatol Venereol Leprol 2009;75: 180–181.
  • 36.Lee SS, Felsenstein J, Tanzer FR. Calcinosis cutis circumscripta: treatment with an intralesional corticosteroid. Arch Dermatol 1978;114: 1080-1081.
  • 37.Marleen AMC, Daniel BJ, Michael PW, William WM: Surgical management calcinosis cutis universalis in SLE. Arthritis and Rheumatism 1997;40: 570-572.
  • 38.Mendelson BC, Linscheid RI, Dobyns JH, Muller SA: Surgical treatment of calcinosis cutis in the upper extremity. J Hand Surg (Am) 1977;2: 318-324.
  • 39.Cribier B, Asch P, Grosshans E. Differentiating squamous cell carcinoma from keratoacanthoma using histopathological criteria. Is it possible? A study of 296 cases. Dermatology 1999;199: 208–212.
  • 40.Kane CL, Keehn CA, Smithberger E, Glass LF. Histopathology of cutaneous squamous cell carcinoma and its variants. Semin Cutan Med Surg 2004;23: 54-61.
There are 40 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Hakan Sarman This is me

Cengiz Işık This is me

Abdullah Alper Şahin This is me

Tolgahan Kuru This is me

Hasan Kızılay This is me

Şemsi Taştan This is me

Birsen Besinli This is me

Tuncay Baran This is me

Cengizhan Kantar This is me

Publication Date January 1, 2014
Published in Issue Year 2014

Cite

APA Sarman, H., Işık, C., Şahin, A. A., Kuru, T., et al. (2014). El ve El Bilek Tümörlü Hastalarda Eksizyonel Biyopsi Sonuçlarının Değerlendirilmesi. Abant Medical Journal, 3(1), 55-61. https://doi.org/10.5505/abantmedj.2014.30602
AMA Sarman H, Işık C, Şahin AA, Kuru T, Kızılay H, Taştan Ş, Besinli B, Baran T, Kantar C. El ve El Bilek Tümörlü Hastalarda Eksizyonel Biyopsi Sonuçlarının Değerlendirilmesi. Abant Med J. January 2014;3(1):55-61. doi:10.5505/abantmedj.2014.30602
Chicago Sarman, Hakan, Cengiz Işık, Abdullah Alper Şahin, Tolgahan Kuru, Hasan Kızılay, Şemsi Taştan, Birsen Besinli, Tuncay Baran, and Cengizhan Kantar. “El Ve El Bilek Tümörlü Hastalarda Eksizyonel Biyopsi Sonuçlarının Değerlendirilmesi”. Abant Medical Journal 3, no. 1 (January 2014): 55-61. https://doi.org/10.5505/abantmedj.2014.30602.
EndNote Sarman H, Işık C, Şahin AA, Kuru T, Kızılay H, Taştan Ş, Besinli B, Baran T, Kantar C (January 1, 2014) El ve El Bilek Tümörlü Hastalarda Eksizyonel Biyopsi Sonuçlarının Değerlendirilmesi. Abant Medical Journal 3 1 55–61.
IEEE H. Sarman, C. Işık, A. A. Şahin, T. Kuru, H. Kızılay, Ş. Taştan, B. Besinli, T. Baran, and C. Kantar, “El ve El Bilek Tümörlü Hastalarda Eksizyonel Biyopsi Sonuçlarının Değerlendirilmesi”, Abant Med J, vol. 3, no. 1, pp. 55–61, 2014, doi: 10.5505/abantmedj.2014.30602.
ISNAD Sarman, Hakan et al. “El Ve El Bilek Tümörlü Hastalarda Eksizyonel Biyopsi Sonuçlarının Değerlendirilmesi”. Abant Medical Journal 3/1 (January 2014), 55-61. https://doi.org/10.5505/abantmedj.2014.30602.
JAMA Sarman H, Işık C, Şahin AA, Kuru T, Kızılay H, Taştan Ş, Besinli B, Baran T, Kantar C. El ve El Bilek Tümörlü Hastalarda Eksizyonel Biyopsi Sonuçlarının Değerlendirilmesi. Abant Med J. 2014;3:55–61.
MLA Sarman, Hakan et al. “El Ve El Bilek Tümörlü Hastalarda Eksizyonel Biyopsi Sonuçlarının Değerlendirilmesi”. Abant Medical Journal, vol. 3, no. 1, 2014, pp. 55-61, doi:10.5505/abantmedj.2014.30602.
Vancouver Sarman H, Işık C, Şahin AA, Kuru T, Kızılay H, Taştan Ş, Besinli B, Baran T, Kantar C. El ve El Bilek Tümörlü Hastalarda Eksizyonel Biyopsi Sonuçlarının Değerlendirilmesi. Abant Med J. 2014;3(1):55-61.