Carcinoma of the hand: a 20-year experience

Conference · Wed Aug 01 04:00:00 EDT 1984 · South. Med. J.; (United States)

OSTI ID:6264434

Bean, D J; Rees, R S; O'Leary, J P; Lynch, J B

The authors reviewed their 20-year experience with cutaneous carcinoma of the hand and identified 70 cases (basal cell 23%, squamous cell 77%). The documented risk factors included solar radiation, trauma, and irradiation. Lesions were treated surgically with amputation, excision, skin graft, or flap closure, and nonsurgically with cryosurgery, curettage, 5-fluorouracil, or irradiation. The recurrence was lower with surgical treatment (3%) than with nonsurgical (33%). Regional lymphadenectomy was required in four patients for metastatic squamous cell carcinoma. Recurrence was greater (9%) and metastasis more common (38%) in patients with Marjolin's type of secondary squamous cell carcinoma than with solar-induced lesions. Cause is an important factor in outcome and should be considered in initial treatment and long-term management.

• Research Organization: VA Medical Center, Nashville, TN
• OSTI ID: 6264434
• Report Number(s): CONF-8311227-
• Conference Information: Journal Name: South. Med. J.; (United States) Journal Volume: 77:8
• Country of Publication: United States
• Language: English

Related Subjects

560151* -- Radiation Effects on Animals-- Man
63 RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTANT EFFECTS ON LIVING ORGS. AND BIOL. MAT.
BODY
BODY AREAS
CARCINOMAS
DISEASE INCIDENCE
DISEASES
ETIOLOGY
HANDS
HAZARDS
HEALTH HAZARDS
LIMBS
MEDICINE
METASTASES
NEOPLASMS
NUCLEAR MEDICINE
PATIENTS
RADIATIONS
RADIOLOGY
RADIOTHERAPY
RISK ASSESSMENT
SIDE EFFECTS
SOLAR RADIATION
STELLAR RADIATION
SURGERY
THERAPY