Benign Bone and Soft Tissue Tumors of the Hand and Upper Limb-Benign Bony and Soft Tissue Tumors of the Hand

Benign Bony and Soft Tissue Tumors of the Hand

Pdf Summary

Benign bony and soft tissue tumors are commonly seen in hand surgery practice. Familiarity with these tumors is crucial for appropriate treatment. The diagnosis can often be made based on history, physical examination, and plain x-rays. Biopsy may not be necessary for certain lesions with characteristic appearances and benign features. However, vigilance in monitoring for signs of malignancy is important. Signs such as rapid growth, increasing pain, or atypical features should prompt a thorough workup and surgical management should be considered if a malignant diagnosis is suspected. <br /><br />For benign bone tumors such as osteoid osteoma, nonsurgical management may involve pain management with aspirin. Radiofrequency ablation is a treatment option, although its use in the hand is less common due to safety concerns. Surgical management usually involves excision of the central nidus, which is usually curative. <br /><br />For benign soft tissue tumors such as glomus tumors and lipomas, surgical excision is the treatment of choice. Glomus tumors may require a transungual approach for complete excision. Lipomas are easily dissected from surrounding tissues.<br /><br />Overall, the limited data on these tumors make it challenging to provide definitive treatment recommendations. However, understanding the characteristics of different benign tumors helps in managing patients effectively, minimizing symptoms, recurrence, and optimizing function.

Keywords

benign tumors

hand surgery

diagnosis

x-rays

surgical management

osteoid osteoma

pain management

glomus tumors

lipomas

treatment recommendations