Treatment of hand tumours
A growth (tumour) on the hand is normally recognised early on and is, in most cases, benign. The development of hand tumours can have various causes, most of which have not yet been established unequivocally. The symptoms may seem quite insignificant to the person affected, but sometimes they can lead to major restrictions in the function of the hand or arm.
The following kinds of hand tumour occur fairly frequently:
- ganglion (synovial cyst)
- giant-cell tumour (synovialoma)
- glomus tumour
- Bowen’s disease
- pyogenic granuloma
- epidermis cyst
Depending on the personal symptoms and medical findings, microsurgical treatment is advisable, above all to forestall the spread of the symptoms and future impairments.
Sparing the surrounding structures and maintaining the function to as great an extent as possible, the tumour and, if necessary, the neighbouring tissue which has also been affected are removed by microsurgery. Depending on the texture, spread and position of the growth, the wound is then sutured immediately or, if the defect is more major, closed by means of a skin transplantation or tissue graft.
The tissue that has been removed is sent in for histological examination to identify the tumour and, in the majority of cases, rule out malignancy. Depending on the findings, follow-up treatment may be necessary.
DURATION OF OPERATION: 30 minutes or longer
ANAESTHETIC: optionally, short anaesthetic or brachial plexus anaesthetic
HOSPITALISATION: mostly out-patient
AFTER-TREATMENT: depending on findings, suture removal after 10 – 12 days
PRESENTABILITY, RETURN TO WORK: depending on occupation, often after as few as 5 days
SPORT: after complete healing
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