Rare benign bone tumors and dystrophy in the hand. Review of literature and report of four cases.
In 1986, the Groupe d'Etude des Tumeurs osseuses (Bone Tumors Studying Group), organised a multicentric study of benign bone tumors and dystrophies localised in the hand. The result was very poor, because only five cases were found. Adding these cases to those already published in the literature, we report: 58 aneurysmal cyst, 12 chondromyxoid fibroma, 9 chondroblastoma, 6 bone cyst, 5 monostotic fibrous dysplasia. The total of 90 cases seems to confirm that the hand is a very unusual localisation for these tumors. These concerned equally metacarpal and phalanx for 37 each, but the carpus was concerned in only 7. Diagnosis was regularly missed before operation, and chondroma was usually suggested; the reason is probably that these tumors lost their usual characters in this particular localisation, except in two cases of fibrous dysplasia. In most cases curettage and cancellous graft seems sufficient to ascertain histology and cure the lesion.
Milliez
P Y
PY
Service d'Orthopédie et de Traumatologie, Hôpital Charles-Nicolle, Rouen.
Thomine
J M
JM
D000328:Adult; D001845:Bone Cysts / Q000473:pathology*; D002648:Child; D002804:Chondroblastoma / Q000473:pathology*; D002812:Chondroma / Q000473:pathology*; D005260:Female; D005357:Fibrous Dysplasia of Bone / Q000473:pathology*; D005385:Fingers; D006225:Hand; D006801:Humans; D008297:Male; D013933:Thumb