Carcinoma of the hand: a 20-year experience

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

DOI:https://doi.org/10.1097/00007611-198408000-00016· OSTI ID:6589906

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

We reviewed our 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: Department of Plastic Surgery, Veterans Administration, Nashville, TN
• OSTI ID: 6589906
• Journal Information: South. Med. J.; (United States), Journal Name: South. Med. J.; (United States) Vol. 77:8; ISSN SMJOA
• Country of Publication: United States
• Language: English

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