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KMID : 0613319990050040201
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Journal of the Korean Bone and Joint Tumor Soceity
1999 Volume.5 No. 4 p.201 ~ p.207
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Malibnant Tumor of the Hand
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Park Hong-Jun
Shin Kyoo-Ho
Bae Im-Don
Hahn Soo-Bong
Kang Eung-Shick
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Abstract
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Malignany tumors of the hand are very rare. Between 1989 and 1998, 17 patients with mailgnant tumors of the hand were evaluated for clinical features, prevalence, treatment and results. The mean ate was 45 years and median duration of follow-up was 38 months. A painless mass was the most common symptom and the most common lesion was the digit. Fifteen cases of soft tissue and 2 cases of bone tumor were diagnosed. On pathology, soft tissue tumors were comprised of 8 cases of malignant melanoma, 2 cases of angiosarcoma and 1 case each of malignant fibrous histiocytoma, malignant peripheral nerve sheath tumor, extraskeletal chondrosarcoma, and squamous cell carcinoma. Bone tumors were metastatic tumors and each originated from the rectal cancer or lung cancer. Lymph node involvements were noted in 4 cases of malignant melanoma and 1 case of squamous cell carcimona, Six cases of metacarpo-phalangeal joint disarticulation and 4 cases of phalanx amputation were performed. Wide excision, ray ampytation and below-elbow amputation were also performed. Three cases due to metastasis and progression of the original lesion. Among the surviving 14 cases, a malignant melamona had metastasis on the axillary lymph node and 13 cases showed no local recurrence or metastasis during the follow-up.
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KEYWORD
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Hand, Malignant Tumor
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