Incidence, histopathologic analysis and distribution of tumours of the hand
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Incidence, histopathologic analysis and distribution of tumours of the hand. / Simon, Maciej Jk; Pogoda, Pia; Hövelborn, Felix; Krause, Matthias; Zustin, Jozef; Amling, Michael; Barvencik, Florian.
in: BMC MUSCULOSKEL DIS, Jahrgang 15, Nr. 1, 28.05.2014, S. 182.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Incidence, histopathologic analysis and distribution of tumours of the hand
AU - Simon, Maciej Jk
AU - Pogoda, Pia
AU - Hövelborn, Felix
AU - Krause, Matthias
AU - Zustin, Jozef
AU - Amling, Michael
AU - Barvencik, Florian
PY - 2014/5/28
Y1 - 2014/5/28
N2 - BACKGROUND: The aim of this large collective and meticulous study of primary bone tumours and tumourous lesions of the hand was to enhance the knowledge about findings of traumatological radiographs and improve differential diagnosis.METHODS: This retrospective study reviewed data collected from 1976 until 2006 in our Bone Tumour Registry. The following data was documented: age, sex, radiological investigations, tumour location, histopathological features including type and dignity of the tumour, and diagnosis.RESULTS: The retrospective analysis yielded 631 patients with a mean age of 35.9 ± 19.2 years. The majority of primary hand tumours were found in the phalanges (69.7%) followed by 24.7% in metacarpals and 5.6% in the carpals. Only 10.6% of all cases were malignant. The major lesion type was cartilage derived at 69.1%, followed by bone cysts 11.3% and osteogenic tumours 8.7%. The dominant tissue type found in phalanges and metacarpals was of cartilage origin. Osteogenic tumours were predominant in carpal bones. Enchondroma was the most commonly detected tumour in the hand (47.1%).CONCLUSIONS: All primary skeletal tumours can be found in the hand and are most often of cartilage origin followed by bone cysts and osteogenic tumours. This study furthermore raises awareness about uncommon or rare tumours and helps clinicians to establish proper differential diagnosis, as the majority of detected tumours of the hand are asymptomatic and accidental findings on radiographs.
AB - BACKGROUND: The aim of this large collective and meticulous study of primary bone tumours and tumourous lesions of the hand was to enhance the knowledge about findings of traumatological radiographs and improve differential diagnosis.METHODS: This retrospective study reviewed data collected from 1976 until 2006 in our Bone Tumour Registry. The following data was documented: age, sex, radiological investigations, tumour location, histopathological features including type and dignity of the tumour, and diagnosis.RESULTS: The retrospective analysis yielded 631 patients with a mean age of 35.9 ± 19.2 years. The majority of primary hand tumours were found in the phalanges (69.7%) followed by 24.7% in metacarpals and 5.6% in the carpals. Only 10.6% of all cases were malignant. The major lesion type was cartilage derived at 69.1%, followed by bone cysts 11.3% and osteogenic tumours 8.7%. The dominant tissue type found in phalanges and metacarpals was of cartilage origin. Osteogenic tumours were predominant in carpal bones. Enchondroma was the most commonly detected tumour in the hand (47.1%).CONCLUSIONS: All primary skeletal tumours can be found in the hand and are most often of cartilage origin followed by bone cysts and osteogenic tumours. This study furthermore raises awareness about uncommon or rare tumours and helps clinicians to establish proper differential diagnosis, as the majority of detected tumours of the hand are asymptomatic and accidental findings on radiographs.
U2 - 10.1186/1471-2474-15-182
DO - 10.1186/1471-2474-15-182
M3 - SCORING: Journal article
C2 - 24885007
VL - 15
SP - 182
JO - BMC MUSCULOSKEL DIS
JF - BMC MUSCULOSKEL DIS
SN - 1471-2474
IS - 1
ER -