Payne and Merrell review the diagnosis and surgical management of benign bony and soft tissue tumors of the hand, covering osteoid osteoma, giant cell tumor of bone, enchondroma, aneurysmal bone cyst, cartilaginous surface lesions, lipoma, giant cell tumor of tendon sheath, schwannoma, neurofibroma, and glomus tumor — with emphasis on recurrence risk and evidence quality for each.
When a patient presents with a painful subungual mass and cold hypersensitivity, think glomus tumor and inspect intraoperatively for satellite lesions.
When you send cartilage tumor specimens from the hand to pathology, explicitly label the anatomic site — hand enchondromas normally show atypia that would be called chondrosarcoma in a long bone, and mislabeling can trigger unnecessary aggressive treatment.
Payne and Merrell review the diagnosis and surgical management of benign bony and soft tissue tumors of the hand, covering osteoid osteoma, giant cell tumor of bone, enchondroma, aneurysmal bone cyst, cartilaginous surface lesions, lipoma, giant cell tumor of tendon sheath, schwannoma, neurofibroma, and glomus tumor — with emphasis on recurrence risk and evidence quality for each.
When a patient presents with a painful subungual mass and cold hypersensitivity, think glomus tumor and inspect intraoperatively for satellite lesions.
When you send cartilage tumor specimens from the hand to pathology, explicitly label the anatomic site — hand enchondromas normally show atypia that would be called chondrosarcoma in a long bone, and mislabeling can trigger unnecessary aggressive treatment.