当科における手の腫よう症例の検討

Abstract

We analyzed 58 cases of hand tumor for which histopathological diagnosis was established in the 10 years from 1993 to 2002. Ganglions developed in soft tissue were excluded. They consisted of 25 cases of bone tumor and 33 cases of soft tissue tumor. Age range was 6 to 78 years and mean age was 26. 1 years. Of the 30 cases of benign soft tissue tumor, nine cases had giant cell tumor of the tendon sheath, eight cases hemangeoma, three cases neurilemmoma, two cases of tenosynovial chondromatosis in order of frequency. There were three cases of malignant soft tissue tumors that were malignant fibrous histiocytima, liposarcoma, and epithlioid sarcoma, respectively.The 25 cases of bone tumors, consisted of 16 cases of enchondroma, three cases of osteochondroma, two cases of intraosseous ganglion, two cases of periosteal chondroma, one case of aneurismal bone cyst, and one case of giant cell reparative granuloma. There were no malignant bone tumors in this series.As the favorite region, soft tissue tumors were noted in the finger region (61%), palm region of the hand (27%), wrist region (9%) and back region of the hand (3%). Bone tumors were noted in the phalanges (64%), metacarpals (32%), and carpals (4%). Soft tissue tumors and bone tumors developed most often in the finger regions.Recurrence was seen in one case of giant cell reparative granuloma, and case of epithlioid sarcoma, none in other soft tissue tumors and bone tumors.Benign soft tissue tumors treated with marginal excision and benign bone tumors treated with curettage and autologous bone transplantation showed good results, however, it was difficult to treat malignant soft tissue tumors without recurrence.