J Korean Soc Surg Hand.  2012 Dec;17(4):153-158. 10.12790/jkssh.2012.17.4.153.

Recurrent Huge Benign Tumors in the Hands

• Kim MW
• Hwang SM
• Lim KR
• Jung YH
• Song JK

• KMID: 1425257
• DOI: http://doi.org/10.12790/jkssh.2012.17.4.153

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 5.3x3.3 cm and the average recurrent tumor size was 4.4x3.0 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.

Keyword

Benign tumor; Hand; Recurrence

MeSH Terms

Epidermal Cyst
Fibroma
Follow-Up Studies
Giant Cell Tumors
Hand
Humans
Recurrence
Reoperation
Retrospective Studies
Tendons

Figure

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

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  Fig. 2 Encircled radial artery in the tumor was identified sonographically.

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  Fig. 3 The tumor encircled radial artery and nerve. The histological result was giant cell tumor of tendon sheath.

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

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  Fig. 5 Patient 2, 7×3 cm sized tumor in the palmar aspect of the left hand.

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  Fig. 6 Coronal image high T1 weighted signals suggests a well defined tumor toward the dorsal aspect in the palm.

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  Fig. 7 The tumor encircled radial digital artery and nerve. The histological result was epidermal cyst.

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  Fig. 8 Patient 2, recurrent 2.5×2 cm sized tumor in the palmar aspect of the left hand.

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