Tumours and Tumour-Like Lesions of Bone
Bone tumours affecting the hand and wrist are rare. Only 2% of a series of 4,277 bone tumours were located in the hand or wrist. Furthermore, primary bone tumours are uncommon when compared with tumours arising in the soft tissues of the hand. Haber descr
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Bone tumours affecting the hand and wrist are rare. Only 2% of a series of 4,277 bone tumours were located in the hand or wrist. Furthermore, primary bone tumours are uncommon when compared with tumours arising in the soft tissues of the hand. Haber described 2,321 tumours of the hand with only 38 cases involving bone.
Introduction.............................................................. 285
2 Benign Bone Tumours of the Hand and Wrist ... 2.1 Benign Cartilaginous Tumours ................................. 2.2 Giant Cell Tumour of Bone and Giant Cell Reparative Granuloma............................................... 2.3 Bone Cysts................................................................. 2.4 Osteoid Osteoma........................................................ 2.5 Focal Proliferative Periosteal Processes ................... 2.6 Miscellaneous Benign Tumours................................ 3
Abstract
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3.1 3.2 3.3 3.4 3.5 3.6
Malignant Bone Tumours of the Hand and Wrist .................................................................. Chondrosarcoma ........................................................ Osteosarcoma............................................................. Ewing sarcoma .......................................................... Metastasis................................................................... Lymphoma ................................................................. Multiple Myeloma .....................................................
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Conclusion ................................................................ 311
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Keypoints .................................................................. 311
303 303 305 307 307 309 310
References.......................................................................... 311
N. A. Kotnis (&) A. M. Davies S. L. J. James Department of Radiology, Royal Orthopaedic Hospital, Birmingham, B31 2AP, UK e-mail: [email protected] A. M. Davies e-mail: [email protected]
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Introduction
Bone tumours affecting the hand and wrist are rare. Only 2% of a series of 4,277 bone tumours were located in the hand or wrist (Dahlin 1995). Furthermore, primary bone tumours are uncommon when compared with tumours arising in the soft tissues of the hand. Haber described 2,321 tumours of the hand with only 38 cases involving bone (cited by Garcia and Bianchi 2001). The majority of bone tumours that affect the hand are benign. Of a series of 469 cases reported by Campanacci and Laus (cited by Garcia and Bianchi 2001), only ten were malignant tumours, six of which were metastases. The most frequent benign lesion is enchondroma and the most common malignant lesion is chondrosarcoma (Wilner 1982; Campbell et al. 1995). In Campbell et al. series of 80 bone tumours of the hand and wrist, gender distribution was equal and there was no left- or right-sided predominance (Campbell et al. 1995). The proximal phalanges and metacarpals are the most commonly affected locations (Wilner 1982; Campbell et al. 1995).
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