Abstract

SILVERIO, Sílvia. Estudo retrospetivo de lesões tumorais do punho e mão. Rev. Port. Ortop. Traum. [online]. 2014, vol.22, n.1, pp.57-66. ISSN 1646-2122.

Objective: to conduct a retrospective study of wrist and hand tumors treated in our Unit of Hand Surgery, and compare the results with those found in existing literature. Material and Methods: a retrospective study was carried out based on the diagnoses found in the database of our Unit, from 2000 to 2009. Synovial cysts, carpal lumps and gouty tophi were excluded from the study. The clinical files were analyzed using the following criteria: gender; age; diagnosis; benignity/malignancy; primary/secondary; origin (bony, cutaneous, vascular, neural); location; clinical presentation; surgical procedure; evolution. Most diagnoses were confirmed by anatomopathological exam. Results: we obtained a total number of 65 tumors, representing 65 patients. Mean age was 49.6 years, 42 females, 55.4% were soft tissue tumors (n = 36), 44.6% were bone tumors (n = 29), 1 case (1.5%) of malignant secundary bone tumor. Conclusion: the results are similar to those found in literature. The existing studies concerning hand tumors are scarce, especially regarding the rarest ones. Most studies do not include long-term monitoring, which would be necessary to establish a guideline for treatment. Given the rarity of malignant tumors, specialists end up having limited experience in their clinical practice. Furthermore, the initial clinical presentation is close to unspecific. This fact results in a high percentage of misdiagnoses in the initial phase.

Keywords : Tumor; Enchondroma; Osteochondroma; Desmoid tumor; Aneurysmal bone cyst; Giant cell tumor of the tendon sheath; Wrist; Hand.

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