By Julien Glicenstein M.D., Jacques Ohana M.D., Caroline Leclercq M.D. (auth.)
Tumours of the hand are hugely different, their basically universal characteristic being their position in an organ within which upkeep of sensation and mobility has to be our fundamental challenge. even if the topic of various experiences, they aren't renowned to the vast majority of practitioners, as each one of these reviews take care of just one kind of tumour. Now, despite the fact that, we have now a booklet committed fullyyt to those tumours as an entire, with a transparent and logical method of the clini cal gains, histology, differential analysis and therapy of every variety, including an intensive bibliography. the necessity for any such paintings - one i feel to be special of its style - has lengthy been felt, for tumours of the hand usually elevate tricky difficulties of diagno sis, diagnosis and remedy. As regards differential prognosis, this e-book is it seems that very helpful; it may be consulted like a class. lately, prognosis has been more advantageous via new tools of research, similar to ther mography, scintigraphy, arteriography and serial angiography, and so forth. even though very pricey, using those refined options occasionally proves precious for the analysis of sure bony or vascular tumours that may rather be tough to procedure. Such tools shouldn't be overused; while the lesion is well obtainable, biopsy is the proper strategy. In each case, biopsy presents the one definite approach to analysis, even supposing histo logical interpretation can be tricky and demands nice experi ence; the consequences of blunders could be very serious.
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Extra info for Tumours of the Hand
1968) studied a group of people in Taiwan drinking arsenic-rich water and found 238 squamous-ceIl epitheliomata, 10 of which affected the hands. 24), immunodepression (Fig. 30), etc. Pathology Grossly, the tumour presents either as an exophytic outgrowth or, vice versa, as an ulceration with infiltration of the subjacent tissue. On the dorsum of the hand the latter is marked by tethering in the plane of the extensor tendons, sometimes associated with simple inflammation. Fig. 28. Squamous-cell epithelioma on bum scar; note ulceration (above) Fig.
Arch Dermatol80: 133 Graham JH, Mezzanti G, Helwig EB (1961) Chemistry of Bowen's disease: Relationship to arsenic. J Invest Dermatol 37: 317 Harmel L, Kalis B, Mallet P (1968) Maladie de Bowen 10calisee a la face palmaire d'un pouce. Bull Soc Fr Dermatol Syphiligr 75: 651-653 Hutchinson J (1892) On senile moles and senile freckles and on their relationship to cancerous processes. Arch Surg 2: 218 Hyman AB (1963) Bowen's disease of finger tips. Arch Dermatol 88: 86-88 Kern AB, Schiff BL (1977) Bowen's disease of the finger.
Sometimes, however, a much more rapid course is seen. The crust erodes, granulates, ulcerates or infiltrates, and the lesion grows very rapidly, suggesting the invasive form of Bowen's disease. Such a course is rare (5% in Graham's series; Graham and Helwig 1959) and usually late, after 15-20 years' progress, possibly elicited by an incomplete initial excision. Invasive Bowen's disease progresses like a squamous-cell epithelioma, with a risk of metastases in the lymph nodes and viscera. Moreover, the disease may be associated with another cancer, either cutaneous, as already Bowen's Disease mentioned, or visceral.
Tumours of the Hand by Julien Glicenstein M.D., Jacques Ohana M.D., Caroline Leclercq M.D. (auth.)