Primary malignant bone tumors of the hand

Frank J. Frassica, Peter C. Amadio, Lester E. Wold, James H. Dobyns, Ronald L. Linscheid

Research output: Contribution to journalArticle

Abstract

Malignant bone tumors of the hand are rare and few centers have extensive experience in the care of patients with these lesions. Eighteen patients with 22 lesions were evaluated at our institution. There were nine chondrosarcomas, four hemangioendothelial sarcomas, two cases each of osteosarcoma and fibrosarcoma, and a single case of Ewing's tumor. The average age of the patients was 39 years. Ten lesions each were located in the metacarpals and phalanges, with two lesions in the carpus. There were nine local recurrences, which appeared at an average of 24.5 months (range, 3 to 74 months). Curettage procedures resulted in the highest rate of local recurrence (85%). Three patients died of metastatic disease. Surgical control of these lesions requires careful preoperative planning and wide surgical margins. Regular oncologic follow-up is necessary.

Original languageEnglish (US)
Pages (from-to)1022-1028
Number of pages7
JournalJournal of Hand Surgery
Volume14
Issue number6
DOIs
StatePublished - Jan 1 1989

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ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Frassica, F. J., Amadio, P. C., Wold, L. E., Dobyns, J. H., & Linscheid, R. L. (1989). Primary malignant bone tumors of the hand. Journal of Hand Surgery, 14(6), 1022-1028. https://doi.org/10.1016/S0363-5023(89)80054-1