Malignant Tumors of the Hand

Lee,  Yoon Min; Rhee,  Seung Koo; Song,  Seok Whan; Choi,  Ki Bum; Chung,  Yang Guk; Sur,  Yoo Joon; Park,  Won Jong; Kang,  Yong Gu

Original Article

Journal of the Korean Society for Surgery of the Hand 2011;16(3):154-160.
Published online September 30, 2011.

Malignant Tumors of the Hand

Yoon Min Lee, Seung Koo Rhee, Seok Whan Song, Ki Bum Choi, Yang Guk Chung, Yoo Joon Sur, Won Jong Park, Yong Gu Kang

¹Department of Orthopedic Surgery, Yoido St. Mary's Hospital, The Catholic University of Korea School of Medicine, Seoul, Korea. skrhee@catholic.ac.kr
²Department of Orthopedic Surgery, Seoul SMH, The Catholic University of Korea School of Medicine, Seoul, Korea.
³Department of Orthopedic Surgery, Eujungbu SMH, The Catholic University of Korea School of Medicine, Seoul, Korea.
⁴Department of Orthopedic Surgery, St. Vincent Hospital, The Catholic University of Korea School of Medicine, Seoul, Korea.

Received: 29 June 2011 • Revised: 5 September 2011 • Accepted: 14 September 2011

Abstract

Purpose
Malignant tumors of the hand occurred very rarely and optical surgical treatment and prognosis are not clearly established. We report the clinical characteristics and treatment outcomes of primary and metastatic bone and soft tissue tumors during last twenty years with a review of literatures. MATERIALS AND METHODS: We reviewed 20 cases of malignant tumors in the hand (7 cases of acrometastasis, 9 cases of malignant melanoma, 2 cases of chondrosarcoma and 2 cases of squamous cell carcinoma) retrospectively.

Results
Patients of early Clark stage (I to III) of malignant melanoma survived after wide resection or ray amputation. But patients with late Clark stage (IV to V) expired associated with distant metastasis. All seven patients with acrometastasis expired in 6.3 months after diagnosis of metastasis. Two patients with chondrosarcoma survived without recurrence. Among patients with squamous cell carcinoma, one patient is free of disease after wide resection, but the other was dead due to metastasis.

Conclusion
Good results might be attained after surgical treatment of malignant tumors of the hand by proper surgical technique to minimize loss of hand function and systemic evaluation of metastasis.