Carcinoma of the hand: a 20-year experience

Conference · Wed Aug 01 00:00:00 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-
• Journal Information: South. Med. J.; (United States), Vol. 77:8; Conference: 77. annual scientific assembly of the Southern Medical Association, Baltimore, MD, USA, 6 Nov 1983
• Country of Publication: United States
• Language: English

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