Tumors of the Hand Tumors of the Hand Edited by Daniel V Egloff, MD Centre Hospitalier Universitaire Vaudois and Clinique Longeraie Lausanne, Switzerland Published in association with the Federation of European Societies for Surgery of the Hand >±) Taylor & Francis Taylor & Francis Group LONDON AND NEW YORK A MARTIN DUNITZ BOOK © 2004 Taylor & Francis, an imprint of the Taylor & Francis Group First published in the United Kingdom in 2004 by Taylor & Francis, an imprint of the Taylor & Francis Group, 11 New Fetter Lane, London EC4P 4EE Tel.: +44 (0} 20 7583 9855 Fax.: +44(0)20 7842 2298 Website: www.tandf.co.uk All rights reserved. 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British Library Cataloguing in Publication Data Data available on application Library of Congress Cataloging-in-Publication Data Data available on application ISBN 1-84184-371-7 Distributed in North and South America by Taylor & Francis 2000 NW Corporate Blvd Boca Raton, FL 33431, USA Within Continental USA Tel.: 800 272 7737; Fax.: 800 374 3401 Outside Continental USA Tel.: 561 994 0555; Fax.: 561 361 6018 E-mail: [email protected] Distributed in the rest of the world by Thomson Publishing Services Cheriton House North Way Andover, Hampshire SP10 5BE, UK Tel.: +44 (0) 1264 332424 E-mail: [email protected] Composition by Siva Math Setters, Chennai, India Printed and bound by Antony Rowe Ltd., Chippenham, Wiltshire, UK C O N T E N TS List of contributors vii Preface xi 1 Benign and malignant tumors of the hand and upper limb: generalities, classification and frequency 1 Vincent R Hentz 2 Hand tumors at l'Institut de la Main 11 Caroline Leclercq, Elena Mateva, Carlos Rueda and the members of l'Institut de la Main, Paris, France 3 Imaging of tumors and tumor-like lesions of the hand and fingers 15 Nicolas Theumann and Jean-Luc Drape 4 Giant cell tumor of the tendon sheath 27 Daniel V Egloffand De bora loanna 5 Hand chondromas 39 Caroline Leclercq 6 Glomus tumor of the hand 47 Nicolas Favarger 1 Osteoid osteoma of the hand and wrist 55 Dominique Le Viet and loannis Tsionos 8 Schwannomas 75 Anne Gray and Chantai Bonnard 9 Neurofibroma 79 Alberto Lluch 10 Malignant peripheral nerve sheath tumors 93 Chantai Bonnard 11 Vascular tumors: classification and surgery 99 Antoine Lavie, Régis Legre and Guy Magalon 12 Radiologic treatment of vascular 'tumors' 113 Philippe Petit, Jean M Bartoli, Karen Lambot, Guy Moulin and Philippe Devred vi TUMORS OF THE HAND 13 What can the hand surgeon do when facing a patient with a melanonychia? 121 Christian Dumontier and Philippe Abimelec 14 Malignant melanoma 133 Margita Flügel 15 Melanomas of the hand: sentinel node biopsy 139 Vincent R Hentz 16 Principles of biopsy and surgical management of soft tissue tumors 147 Elyazid Mouhsine, Raffaele Garofalo and Pierre F Leyvraz 17 Malignant soft tissue tumors of the hand: histological diagnosis and classification 155 Louis Guillou 18 Soft tissue sarcoma of the hand and wrist 167 Massimo Ceruso, Domenico Campanacci, Patrizio Caldora and Prospero Bigazzi 19 Objectives and results of the Cooperative Osteosarcoma Study Group 175 Stefan S Bielack and Silke Flege 20 Chondrosarcoma 183 Caroline Leclercq 21 Metastatic tumors to the hand and wrist 187 Vincent R Hentz Index 193 L I ST OF C O N T R I B U T O RS Philippe Abimelec Patrizio Caldora Dermatology Il Divisione Ortopedia Hôpital Saint Louis Centro D'Oncologia Ricostruttiva Rue Claude Vellefaux Azienda Ospedaliera -Universitaria 75010 Paris Ca reggi France 50139 Firenze Italy Jean M Bartoli Radiology Department Domenico Campanacci HôpitaiTimone - Adultes Il Divisione Ortopedia Marseille Centro D'Oncologia Ricostruttiva France Azienda Ospedaliera-Universitaria Careggi Stefan S Bielack 50139 Firenze Universitätsklinikum Münster Italy Klinik und Poliklinik fur Kinder- und Jugendmedizin Massimo Caruso Pädiatrische Hämatologie und Chirurgia della Mano e Microchirurgia Onkologie Ricostruttiva Albert-Scheweitzer Str. 33 Azienda Ospedaliera-Universitaria 48129 Münster Careggi Germany 50139 Firenze Italy Prospero Bigazzi Chirurgia della Mano e Microchirurgia Ricostruttiva Philippe Devred Azienda Ospedaliera-Universitaria Radiology Department Ca reggi HôpitaiTimone - Enfants 50139 Firenze Marseille Italy France Chantal Bonnard Jean-Luc Drape Clinque de Longeraie Service de Radiology Av. de la Gare 9 Hôpital Cochin 1003 Lausanne Paris Switzerland France TUMORS OF THE HAND Christian Dumontier Vincent R Hentz Institut de la Main Robert A. Chase Hand Surgery Center 6 Square Jouvenet Stanford University 75010 Paris 900 Welch Road France Palo Alto, CA 94304 USA Daniel V Egloff Debora loanna Service Universitaire de Chirurgie Plastique et Reconstructive Service Universitaire de Chirurgie Chirurgie de la Main Plastique et Reconstructive Avenue de la Gare 9 Chirurgie de la Main 1003 Lausanne Clinique de Longeraie Switzerland Avenue de la Gare 9 1003 Lausanne Nicolas Favarger Switzerland Clinique Chirurgicale et Permanence de Karen Lambot Longeraie Radiology Department Avenue de la Gare 9 Hôpital Timone - Enfants 1003 Lausanne Marseille Switzerland France Silke Flege Antoine Lavie Universitätsklinikum Münster Service de Chirurgie de la Main Klinik und Poliklink für Kinder- und Chirurgie Plastique et Réparatric des Membres Jugendamedizin Hôpital de la Conception Pädiatrische Hämatologie und 145 Bld Baille Onkologie 13005 Marseille Albert-Schweitzer Str. 33 France 48129 Münster Germany Caroline Leclercq Institut de la Main Margita Flügel 6 Square Jouvenet Unfallklinik Friederikenstrifts 75016 Paris Marienstrasse 37 France 30171 Hannover Germany Régis Legre Service de Chirurgie de la Main Raffaele Garofalo Chirurgie Plastique et Réparatric des Membres Orthopedics and Traumatology Hôpital de la Conception Centre Hospitalier Universitaire Vaudois 145 Bld Baille 1011 Lausanne 13005 Marseille Switzerland France Anne Gray Dominique Le Viet Clinique de Longeraie Institut de la Main Av. de la Gare 9 6, Square Jouvenet 1003 Lausanne 75016 Paris Switzerland France Louis Guillou Pierre F Leyvraz Institut Universitaire de Pathologie Orthopedics and Traumatology Rue du Bugnon 25 Centre Hospitalier Universitaire Vaudois 1011 Lausanne 1011 Lausanne Switzerland Switzerland LIST OF CONTRIBUTORS ix Alberto Lluch Philippe Petit Institut Kaplan for Surgery of the Hand Radiology Department and Upper Extremity HôpitalTimone - Enfants and Hôpital Paseo Bonanova 9 Timone - Adultes 08022 Barcelona Marseille Spain France Guy Magalon Carlos Rueda Service de Chirurgie de la Main Institut de la Main Chirurgie Plastique et Réparatric des Membres 6, Square Jouvenet Hôpital de la Conception 75016 Paris 145 Bid Baille France 13005 Marseille France Nicolas Theumann Service de Radiodiagnostic et de Elena Mateva Radiologie Interventionnelle Institut de la Main Centre Hospitalier Universitaire Vaudois 6, Square Jouvenet 1011 Lausanne 75016 Paris Switzerland France loannis Tsionos Elyazid Mouhsine Institut de la Main Orthopedics andTraumatology 6, Square Jouvenet Centre Hospitalier Universitaire Vaudois 75016 Paris 1011 Lausanne France Switzerland Guy Moulin Radiology Department Hôpital Timone - Adultes Marseille France