Recurrent Huge Benign Tumors in the Hands

Kim,  Min Wook; Hwang,  So Min; Lim,  Kwang Ryeol; Jung,  Yong Hui; Song,  Jennifer K

doi:2012.17.4.153

Arch Hand Microsurg > Volume 17(4); 2012 > Article

Original Article

Journal of the Korean Society for Surgery of the Hand 2012;17(4):153-158.
Published online December 30, 2012.
DOI: https://doi.org/10.12790/jkssh.2012.17.4.153

Recurrent Huge Benign Tumors in the Hands

Min Wook Kim, So Min Hwang, Kwang Ryeol Lim, Yong Hui Jung, Jennifer K Song

Hand and Microsurgery Center, Good Moonhwa Hospital, Busan, Korea. sominhwang@hanmail.net

Received: 10 August 2012 • Revised: 6 November 2012 • Accepted: 19 November 2012

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.