Evaluation of Phalangeal Benign Soft-Tissue Tumors of the Hand and Systemic Review of the Literature
INTRODUCTION: Our aim in this study is to evaluate patients with phalangeal benign soft-tissue tumors of the hand and to evaluate their short-term complications after surgery. METHODS: Between January 2019 and October 2021, 59 patients (31 female, 28 male; mean age 48.96+-13.33, range 20–75 years) w...
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| Format: | Article |
| Language: | English |
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Kare Publishing
2022-06-01
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| Series: | Boğaziçi Tıp Dergisi |
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| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=bmj&un=BMJ-44265 |
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| author | Numan Atılgan Mehmet Rauf Koç Numan Duman Turgut Emre Erdem Onur Bilge |
| author_facet | Numan Atılgan Mehmet Rauf Koç Numan Duman Turgut Emre Erdem Onur Bilge |
| author_sort | Numan Atılgan |
| collection | DOAJ |
| description | INTRODUCTION: Our aim in this study is to evaluate patients with phalangeal benign soft-tissue tumors of the hand and to evaluate their short-term complications after surgery. METHODS: Between January 2019 and October 2021, 59 patients (31 female, 28 male; mean age 48.96+-13.33, range 20–75 years) with phalangeal soft-tissue tumors were evaluated according to demographic data, histopathological diagnosis, satisfaction level, recurrence, and complications. RESULTS: The most common phalangeal soft-tissue tumor was tenosynovial giant cell tumors (n=15, 38.4%). Other frequent histologies included ganglion cysts (12.8%), epidermal inclusion cyst (10.25%), and fibrolipoma (7.6%). Soft-tissue tumors were most commonly found on second and third phalanx (both 26.2%), followed by fourth (13.8%), first (12.3%), and fifth (9.2%) The location of soft-tissue tumors was found in the phalanx of hands that were 40% proximal, 29.2% distal, and 30.8% in different parts of the phalanx. The mean visual analog scale score was 5.9+-3.1 before excisional surgery; it was 3.47+-1.3 at the last follow-up (p<0.01). Seven patients had recurrence after the surgery (11.8%). Surgical site infection was the other complication and seen in three patients (5%). DISCUSSION AND CONCLUSION: Our experience has shown that the most frequently observed soft-tissue phalanx tumors are tenosynovial giant cell tumors. Excisional surgical treatment of soft-tissue tumors of the phalanx is a surgery that requires attention to get good satisfaction rates and low recurrence and complication rates. |
| first_indexed | 2024-03-11T16:31:08Z |
| format | Article |
| id | doaj.art-500baee9ced34b8eb495477b265ff72a |
| institution | Directory Open Access Journal |
| issn | 2149-0287 |
| language | English |
| last_indexed | 2024-03-11T16:31:08Z |
| publishDate | 2022-06-01 |
| publisher | Kare Publishing |
| record_format | Article |
| series | Boğaziçi Tıp Dergisi |
| spelling | doaj.art-500baee9ced34b8eb495477b265ff72a2023-10-24T02:41:46ZengKare PublishingBoğaziçi Tıp Dergisi2149-02872022-06-019213213810.14744/bmj.2022.44265BMJ-44265Evaluation of Phalangeal Benign Soft-Tissue Tumors of the Hand and Systemic Review of the LiteratureNuman Atılgan0Mehmet Rauf Koç1Numan Duman2Turgut Emre Erdem3Onur Bilge4Department of Hand Surgery, Mehmet Akif Inan Training and Research Hospital, Sanliurfa, TurkeyDepartment of Hand Surgery, Izmir Tepecik Training and Research Hospital, Izmir,TurkeyDepartment of Orthopedics and Traumatology, Uskudar University Medicine Faculty, Npıstanbul Brain Hospital, Istanbul, TurkeyDepartment of Orthopedics and Traumatology, Necmettin Erbakan University Meram Medicine Faculty, Konya, TurkeyDepartment of Orthopedics and Traumatology, Necmettin Erbakan University Meram Medicine Faculty, Konya, TurkeyINTRODUCTION: Our aim in this study is to evaluate patients with phalangeal benign soft-tissue tumors of the hand and to evaluate their short-term complications after surgery. METHODS: Between January 2019 and October 2021, 59 patients (31 female, 28 male; mean age 48.96+-13.33, range 20–75 years) with phalangeal soft-tissue tumors were evaluated according to demographic data, histopathological diagnosis, satisfaction level, recurrence, and complications. RESULTS: The most common phalangeal soft-tissue tumor was tenosynovial giant cell tumors (n=15, 38.4%). Other frequent histologies included ganglion cysts (12.8%), epidermal inclusion cyst (10.25%), and fibrolipoma (7.6%). Soft-tissue tumors were most commonly found on second and third phalanx (both 26.2%), followed by fourth (13.8%), first (12.3%), and fifth (9.2%) The location of soft-tissue tumors was found in the phalanx of hands that were 40% proximal, 29.2% distal, and 30.8% in different parts of the phalanx. The mean visual analog scale score was 5.9+-3.1 before excisional surgery; it was 3.47+-1.3 at the last follow-up (p<0.01). Seven patients had recurrence after the surgery (11.8%). Surgical site infection was the other complication and seen in three patients (5%). DISCUSSION AND CONCLUSION: Our experience has shown that the most frequently observed soft-tissue phalanx tumors are tenosynovial giant cell tumors. Excisional surgical treatment of soft-tissue tumors of the phalanx is a surgery that requires attention to get good satisfaction rates and low recurrence and complication rates.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=bmj&un=BMJ-44265bening soft tissue tumoursexcisional surgeryhistopathologicalphalanxvisual analogue scale. |
| spellingShingle | Numan Atılgan Mehmet Rauf Koç Numan Duman Turgut Emre Erdem Onur Bilge Evaluation of Phalangeal Benign Soft-Tissue Tumors of the Hand and Systemic Review of the Literature Boğaziçi Tıp Dergisi bening soft tissue tumours excisional surgery histopathological phalanx visual analogue scale. |
| title | Evaluation of Phalangeal Benign Soft-Tissue Tumors of the Hand and Systemic Review of the Literature |
| title_full | Evaluation of Phalangeal Benign Soft-Tissue Tumors of the Hand and Systemic Review of the Literature |
| title_fullStr | Evaluation of Phalangeal Benign Soft-Tissue Tumors of the Hand and Systemic Review of the Literature |
| title_full_unstemmed | Evaluation of Phalangeal Benign Soft-Tissue Tumors of the Hand and Systemic Review of the Literature |
| title_short | Evaluation of Phalangeal Benign Soft-Tissue Tumors of the Hand and Systemic Review of the Literature |
| title_sort | evaluation of phalangeal benign soft tissue tumors of the hand and systemic review of the literature |
| topic | bening soft tissue tumours excisional surgery histopathological phalanx visual analogue scale. |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=bmj&un=BMJ-44265 |
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