الفهرس | Only 14 pages are availabe for public view |
Abstract The conclusion and powerful treatment of tumorlike injuries and tumors of the hand and wrist require the joint effort of the orthopedic specialist, radiologist, and pathologist. The initial phases in the demonstrative workup are an entire history and clinical examination. Radiographs are useful even when the lesion is in the soft tissues because radiodensities may provide valuable clues to the nature of the lesion. There may be phleboliths in the lesion (vascular tumor), or the lesion may contain areas of mineralization in the form of calcification (cartilage matrix) or actual bone. More specialized imaging studies, such as CT, MRI, MRA, and angiography, also may be indicated. Oncologic surgical principles always should be followed, and whenever there is any doubt as to the nature of the lesion, an incisional biopsy should be done before proceeding with the definitive surgical producer.Dangerous tumors of the hand and wrist are uncommon. It is imperative in this manner to distinguish these conditions as right on time as could reasonably be expected. Administration of these tumors are basically surgical going for finish freedom of the sore alongside an edge of typical tissue. Multimodality administration of hand tumors is imperative and appendage rescue surgery has a distinct part. |