Frequency of Painful Benign Tumors of Hand: HULS Report

Author(s): Sanjay Kumar Sureen, Vinod Kumar Singhal, Faris Dawood Alaswad, Hasan Yousuf Bilal, Omer Elfaroug Amin Mohammed

Objectives: Our study was designed to evaluate the clinical features of hand tumors. We aimed to highlight the frequency of painful benign tumors of the hand.

Methodology: This retrospective study was conducted at the Department of Orthopedics in Prime Hospital, Dubai, UAE, from the year 2017 to 2020. During this timeframe, we reviewed 49 lesions of 45 patients. We classified bone lesions as the tumors located on the bones of the hand while lesions of fingers, palm, or at the back of the hand were classified as soft tissue lesions. Radiological imaging was used to measure the maximum diameter of the tumor. Continuous variables such as age and tumor size were analyzed by the receiver operative characteristics (ROV) curve. We used Fisher's exact test to measure the possibility of malignancy.

Results: We identified that 21 (46.6%) patients were less than 39 years old while 23 (51%) were aged above thirty-nine years. Overall, 49 lesions were analyzed. Out of these 49 lesions, we observed 30 (61.2%) soft tissue tumors and 19 (38.7%) bone tumors. Enchondroma was the most frequently diagnosed bone tumor, while Osteochondroma and Aneurysmal bone cysts were comparatively less diagnosed (7; 36.8% and 3; 15.7%, respectively).

Conclusion: Our results concluded that the majority of hand tumors were observed on the palm and Phalanx bone. Soft tissue tumors are more common among patients less than 39 years old than bone tumors. This tissue can cause functional impairment at a very young age and should be treated at the initial stage.