Surgical Options for Malignant Skin Tumors of the Hand
Background Primary malignant tumors of the hand, although unusual, may present variedand often complex clinical problems. Themain treatmentmodality ofskin cancer ofthe handhas changed.Methods We retrospectively reviewed the medical records of 43 patients who underwentsurgery formalignantskin tumor...
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Korean Society of Plastic and Reconstructive Surgeons
2013-05-01
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doaj-b33bba8857054ce7a06404464e59a9b92020-11-25T00:37:58ZengKorean Society of Plastic and Reconstructive SurgeonsArchives of Plastic Surgery2234-61632234-61712013-05-01403238243Surgical Options for Malignant Skin Tumors of the HandMin Ji YunJi Ung ParkSung Tack KwonBackground Primary malignant tumors of the hand, although unusual, may present variedand often complex clinical problems. Themain treatmentmodality ofskin cancer ofthe handhas changed.Methods We retrospectively reviewed the medical records of 43 patients who underwentsurgery formalignantskin tumors ofthe hand during an 18-year period,fromSeptember 1994to February 2012. The characteristics of the tumor, methods of reconstruction, and long-termresultswere reviewed.Results We had 43 patients with 27 melanomas, 14 squamous cell carcinomas, and 2 sarcomas. Their ages ranged from 19 to 74 years (mean, 53.4±14.5 years), from 46 to 79 years(mean, 59.7±9.6 years), and from 15 to 43 years (mean, 29±19.8 years), respectively. Thirtyfour cases occurred on the fingertip (16 ofthose cases on the thumb), 5 cases occurred on thepalm, and 4 cases on the dorsum ofthe hand. Amputationwas mostfrequently used in earlycases, but recently, tissue-sparing excision has been performed frequently. The incidence oflocal recurrence was 3 cases and distant metastasis was 1 case, and the 5-year survival ratewas 100%, exceptin 4 cases due to follow-up loss.Conclusions The principles of treatment-to be curative and to preserve function andappearance-are important points. “Preservative surgery” preserves function and cosmesis ofthe involved finger or hand dorsum or palm. Preservative surgery not only emphasizes lessresection and surgery of a smaller scale, but also optimal reconstruction of the soft tissuedefect ofthe digit.http://e-aps.org/Synapse/Data/PDFData/2023APS/aps-40-238.pdfSkin neoplasmsMelanomaCarcinomasquamous cellSurgical flaps |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Min Ji Yun Ji Ung Park Sung Tack Kwon |
spellingShingle |
Min Ji Yun Ji Ung Park Sung Tack Kwon Surgical Options for Malignant Skin Tumors of the Hand Archives of Plastic Surgery Skin neoplasms Melanoma Carcinoma squamous cell Surgical flaps |
author_facet |
Min Ji Yun Ji Ung Park Sung Tack Kwon |
author_sort |
Min Ji Yun |
title |
Surgical Options for Malignant Skin Tumors of the Hand |
title_short |
Surgical Options for Malignant Skin Tumors of the Hand |
title_full |
Surgical Options for Malignant Skin Tumors of the Hand |
title_fullStr |
Surgical Options for Malignant Skin Tumors of the Hand |
title_full_unstemmed |
Surgical Options for Malignant Skin Tumors of the Hand |
title_sort |
surgical options for malignant skin tumors of the hand |
publisher |
Korean Society of Plastic and Reconstructive Surgeons |
series |
Archives of Plastic Surgery |
issn |
2234-6163 2234-6171 |
publishDate |
2013-05-01 |
description |
Background Primary malignant tumors of the hand, although unusual, may present variedand often complex clinical problems. Themain treatmentmodality ofskin cancer ofthe handhas changed.Methods We retrospectively reviewed the medical records of 43 patients who underwentsurgery formalignantskin tumors ofthe hand during an 18-year period,fromSeptember 1994to February 2012. The characteristics of the tumor, methods of reconstruction, and long-termresultswere reviewed.Results We had 43 patients with 27 melanomas, 14 squamous cell carcinomas, and 2 sarcomas. Their ages ranged from 19 to 74 years (mean, 53.4±14.5 years), from 46 to 79 years(mean, 59.7±9.6 years), and from 15 to 43 years (mean, 29±19.8 years), respectively. Thirtyfour cases occurred on the fingertip (16 ofthose cases on the thumb), 5 cases occurred on thepalm, and 4 cases on the dorsum ofthe hand. Amputationwas mostfrequently used in earlycases, but recently, tissue-sparing excision has been performed frequently. The incidence oflocal recurrence was 3 cases and distant metastasis was 1 case, and the 5-year survival ratewas 100%, exceptin 4 cases due to follow-up loss.Conclusions The principles of treatment-to be curative and to preserve function andappearance-are important points. “Preservative surgery” preserves function and cosmesis ofthe involved finger or hand dorsum or palm. Preservative surgery not only emphasizes lessresection and surgery of a smaller scale, but also optimal reconstruction of the soft tissuedefect ofthe digit. |
topic |
Skin neoplasms Melanoma Carcinoma squamous cell Surgical flaps |
url |
http://e-aps.org/Synapse/Data/PDFData/2023APS/aps-40-238.pdf |
work_keys_str_mv |
AT minjiyun surgicaloptionsformalignantskintumorsofthehand AT jiungpark surgicaloptionsformalignantskintumorsofthehand AT sungtackkwon surgicaloptionsformalignantskintumorsofthehand |
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1725298722199306240 |