Benign tumours of the upper extremity are common in hand surgeons’
practice. The most commonly diagnosed are giant-cell tumours of the tendon
sheath and lipomas.
The objective of this study was an investigation into the distribution of
tumours in the upper limb, their symptomatology and outcomes of surgery,
particularly regarding the rate of recurrence.
Material and Methods A total of 346 patients, 234 women (68%) and
112 men (32%), who had undergone surgery for tumours located in the
upper extremity which were not ganglion cysts were enrolled into the study. The
follow-up assessment was performed at a mean of 21 months (range 12–36)
post-operatively.
Results The most common tumour in this study was giant cell tumour of the
tendon sheath − 96 cases (27.7%), followed by lipoma −
44 cases (12.7%). Most lesions − 231 (67%) were
localized in the digits. A total of 79 (23%) recurrences were noted, the
most common after surgery for rheumatoid nodules - 43.3% and the
giant-cell tumours of the tendon sheath − 31.3%. The independent
factors increasing risk of recurrence following the tumour’s resection
were: histological type of the lesion - the giant-cell tumour of the tendon
sheath (p=0.0086) and the rheumatoid nodule (p=0.0027), as well
as a combination of incomplete (non-radical) and not “en block”
resection of tumours. A brief review of the literature referring to the
presented material is offered.