Acta Ortopédica Mexicana

Velázquez-Rueda ML, Hernández-Méndez-Villamil E, Mendoza-Muñoz M, Rivas-Montero JA, Espinosa-Gutiérrez A
Primary tumours and pseudotumors of the hand in adults. Epidemiological analysis of cases, management and evolution
Acta Ortop Mex 2019; 33 (2)

Language: Español
References: 20
Page: 81-87
PDF: 180.20 Kb.

[Fulltext - PDF]


Introduction: Tumors in the hand are rare, and malignant tumors in the hand are peculiar; However, primary pseudotumoral lesions of the hand, such as ganglion, are very frequent. Most of the tumors found in the bone and soft tissue can be presented in the same way in the hand but their frequency and distribution is different. Despite the low incidence of benign and malignant tumors in the hand, these can be locally invasive or compromise the hand function. The main objective of this study is to determine the epidemiology, types, location and management of tumors and pseudotumors of the hand in adults in the Mexican population. Material and methods: We designed a retrospective study by review of clinical records of patients in our institution with diagnosis of tumors or pseudotumors in hand from January 2007 to December 2016 evaluating variables such as age, gender, laterality, Diagnosis, histological lineage, localization and treatment. Results: Our study comprises 215 patients with an average age of 44.23 years, predominantly women. Pseudotumors are the most frequently encountered (synovial cyst), followed by benign soft tissue tumors, benign bone tumors, and, finally, malignant tumors. Discussion: After all we suggests a possible new classification for the hand that is simple, reproducible and give guidance for treatment. The need for a classification system is imminent to standardize diagnostics, guide future research, focus treatments and preserve hand function.

Key words: Epidemiology, tumors, hand, diagnosis, treatment.


  1. Sağlik Y, Atalar H, Armangil M, Başarir Kalildiz Y, Bilgin S. Management of tumors and tumor-like lesions of the hand: a review of 191 patients. Eklem Hastalik Cerrahisi. 2013; 24(3): 149-55.

  2. Demirtas M, Adiyaman S, Demirors H, Saglik Y. Primary and metastatic malignancies of the hand. Eklem Hastalik Cerrahisi 1994; 5: 53-4.

  3. Mavrogenis AF, Panagopoulos GN, Angelini A, Lesenský J, Vottis C, Megaloikonomos PD, et al. Tumors of the hand. Eur J Orthop Surg Traumatol. 2017; 27(6): 747-62.

  4. Faruch Bilfeld M, Lapègue F, Brun C, Bakouche S, Bayol MA, Chiavassa-Gandois H, et al. Tumors and pseudotumors of the hand: the role of imaging. Diagn Interv Imaging. 2015; 96(12): 1293-306.

  5. Capelastegui A, Astigarraga E, Fernandez-Canton G, Saralegui I, Larena JA, Merino A. Masses and pseudomasses of the hand and wrist: MR findings in 134 cases. Skeletal Radiol. 1999; 28(9): 498-507.

  6. Gielen JL, De Schepper AM, Vanhoenacker F, Parizel PM, Wang XL, et al. Accuracy of MRI in characterization of soft tissue tumors and tumor-like lesions. A prospective study in 548 patients. Eur Radiol. 2004; 14(12): 2320-30.

  7. Mavrogenis AF, Angelini A, Errani C, Rimondi E. How should musculoskeletal biopsies be performed? Orthopedics. 2014; 37(9): 585-8.

  8. Errani C, Traina F, Perna F, Calamelli C, Faldini C. Current concepts in the biopsy of musculoskeletal tumors. Scientific World Journal. 2013; 2013: 538152.

  9. Rimondi E, Rossi G, Bartalena T, Ciminari R, Alberghini M, Ruggieri P, et al. Percutaneous CT-guided biopsy of the musculoskeletal system: results of 2027 cases. Eur J Radiol. 2011; 77(1): 34-42.

  10. Mankin HJ, Mankin CJ, Simon MA. The hazards of the biopsy, revisited. Members of the Musculoskeletal Tumor Society. J Bone Joint Surg Am. 1996; 78(5): 656-63.

  11. Schnürer S, Horch RE. Malignant bone tumors of the hand. Handchir Mikrochir Plast Chir. 2013; 45(3): 152-8.

  12. Henderson M, Neumeister MW, Bueno RA Jr. Hand tumors: II. Benign and malignant bone tumors of the hand. Plast Reconstr Surg. 2014; 133(6): 814e-21e.

  13. Sacks JM, Azari KK, et al. Benign and malignant tumors of the hand. In: Neligan PC, Chan J (eds) Plastic surgery. vol 6. Saunders. Elsevier, Philadelphia, 2013, 311-332.

  14. Nahra ME, Bucchieri JS. Ganglion cysts and other tumor related conditions of the hand and wrist. Hand Clin. 2004; 20(3): 249-60.

  15. Dias JJ, Dhukaram V, et al. The natural history of untreated dorsal wrist ganglia and patient reported outcome 6 years after intervention. J Hand Surg Eur. 2007; 32(5): 502-8.

  16. Chakarun CJ, Forrester DM, Gottsegen CJ, Patel DB, White EA, Matcuk GR Jr. Giant cell tumor of bone: review, mimics, and new developments in treatment. Radiographics. 2013; 33(1): 197-211.

  17. Mayerson JL, Scharschmidt TJ, Lewis VO, Morris CD. Diagnosis and management of soft-tissue masses. J Am Acad Orthop Surg. 2014; 22(11): 742-50.

  18. Jernigan EW, Esther RJ. Soft tissue masses for the general orthopedic surgeon. Orthop Clin N Am. 2015; 46: 417-28.

  19. Kindblom LG. Bone tumors: epidemiology, classification, Pathology. In: Davies A, Sundaram M, James S (eds). Imaging of bone tumors and tumor-like lesions. Medical Radiology. Springer, Berlin, Heidelberg. 2009.

  20. Payne WT, Merrell G. Benign bony and soft tissue tumors of the hand. J Hand Surg. 2010; 35(11): 1901-10.