Recurrent Huge Benign Tumors in the Hands

Min Wook Kim; So Min Hwang; Kwang Ryeol Lim; Yong Hui Jung; Jennifer K Song

doi:10.0000/jkssh.2012.17.4.153

Journal List > J Korean Soc Surg Hand > v.17(4) > 1106407

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Kim, Hwang, Lim, Jung, and Song: Recurrent Huge Benign Tumors in the Hands

Original Article

Journal of the Korean Society for Surgery of the Hand

Journal of the Korean Society for Surgery of the Hand 2012; 17(4): 153-158.

Published online: 31 December 2012

DOI: https://doi.org/10.0000/jkssh.2012.17.4.153

Recurrent Huge Benign Tumors in the Hands

Min Wook Kim, So Min Hwang, Kwang Ryeol Lim, Yong Hui Jung, Jennifer K Song

Hand and Microsurgery Center, Good Moonhwa Hospital, Busan, Korea.

Correspondence to: So Min Hwang. Hand and Microsurgery Center, Good Moonhwa Hospital, 119 Beomil-ro, Dong-gu, Busan 601-803, Korea. TEL: +82-51-630-0199, FAX: +82-51-630-0145, sominhwang@hanmail.net

Received 10 August 2012 Revised 6 November 2012 Accepted 19 November 2012

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

Huge benign tumors in the hands sometimes show aggressive nature clinically. We report the clinical features of patients with a large benign recurrent tumors in the hands.

Methods

We retrospectively reviewed 139 benign tumors in hands excised by the authors between January, 2006 and March, 2012. There were 4 cases of huge benign tumors in hands that recurred after total excision.

Results

The average initial tumor size was 5.3×3.3 cm and the average recurrent tumor size was 4.4×3.0 cm. The average period of recurrence from initial operation was 11.3 months. The pathologic findings involved one epidermal cyst, two fibromatosis, and one giant cell tumor of tendon sheath. Although radical removal of the tumors were successful, reoperation due to the tumor recurrence was required.

Conclusion

Regardless of the tumor malignancy, a wide range of tumor resection and radiation therapy may be necessary in order to prevent the recurrence of tumors in the hand. Sufficient follow-up periods to determine recurrence were required.

Keywords: Benign tumor, Hand, Recurrence

Figures and Tables

Fig. 1

Patient 1, 3×2 cm sized tumor in wrist, Lt., palmar aspect.

Fig. 2

Encircled radial artery in the tumor was identified sonographically.

Fig. 3

The tumor encircled radial artery and nerve. The histological result was giant cell tumor of tendon sheath.

Fig. 4

Patient 1, recurrent 4×4 cm sized tumor in the palmar aspect of the left wrist.

Fig. 5

Patient 2, 7×3 cm sized tumor in the palmar aspect of the left hand.

Fig. 6

Coronal image high T1 weighted signals suggests a well defined tumor toward the dorsal aspect in the palm.

Fig. 7

The tumor encircled radial digital artery and nerve. The histological result was epidermal cyst.

Fig. 8

Patient 2, recurrent 2.5×2 cm sized tumor in the palmar aspect of the left hand.

Table 1

Data of the patients

^*The first surgery of the patient 4 was operated at other clinic.

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