手部肿瘤566例分析

Analysis of 566 cases of the tumor of the hand

目的探讨手部软组织肿瘤和骨肿瘤的发病情况。方法对1985年1月至2006年12月期间，治疗并经病理证实的手部软组织肿瘤和骨肿瘤566例进行回顾性分析。结果手部软组织肿瘤以血管瘤最为多见，余依次为腱鞘巨细胞瘤、腱鞘囊肿、血管球瘤等；骨肿瘤以内生软骨瘤最为多见，骨软骨瘤、骨巨细胞瘤偶有发生；手部骨转移癌较少见。结论手部软组织肿瘤和骨肿瘤以良性肿瘤最为多见，采取积极、合理的治疗效果满意。手部恶性肿瘤和转移癌偶发，应引起注意并加以鉴别。

Objective To study the clinical characteristics of soft tissue and bone tumors of the hand. Methods Five hundred and sixty-six cases of soft tissue and bone tumors of the hand were retrospectively analyzed, which were excised and confirmed postoperatively with the pathological results in our hospital from January 1985 to December 2006. Results Hemangiomas are the most common soft tissue tumors of the hand, subsequently the ganglions, giant cell tumors of the tendon sheath, and glomus tumors. Enchondromas are the most common bone tumors; osteochandroma and giant cell tumors of bone are not common in the hand. Metastasis to the bones of the hand is rare. Condusion Benign tumors are the most common soft tissue and bone tumors of the hand, and satisfactory results can be obtained by proper treatment. Malignant tumors of the hand and metastasis to the hand are uncommon; however, they should be considered in differential diagnosis.