Skin cancers of the hand: a series of 541 malignancies

Plastic and Reconstructive Surgery
Simon J MaciburkoHenk P Giele

Abstract

Skin cancers of the hand are uncommon and poorly documented. The objective of this study was to review a large cohort of patients with hand skin malignancies to determine tumor characteristics, management techniques, and outcomes. A retrospective review of consecutive patients with surgically excised primary cutaneous hand malignancies at the John Radcliffe Hospital between 1993 and 2010 was performed. Records were reviewed to determine tumor characteristics, demographics, and management details. Outcome parameters included margins and completeness of excision, recurrence, metastatic spread, and survival. A total of 407 patients (65.8 percent male; mean age, 72.2 ± 0.7 yr) presented with 541 primary cutaneous hand malignancies and were followed up for a mean period of 24 months. Half the cohort had previous skin cancers and almost one in five developed further hand skin cancers. Squamous cell carcinoma comprised 78.0 percent, basal cell carcinoma 11.3 percent, and melanoma 3.9 percent of cases. Incidence was highest on the dorsum of the hand. Surgical margins were proportionate to tumor size, and most defects required soft-tissue reconstruction. Recurrence was uncommon in melanoma and rare in squamous and basal cell carcinomas....Continue Reading

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Citations

Jun 9, 2015·Journal of Plastic Surgery and Hand Surgery·Sammy SinnoMihye Choi
Jun 5, 2013·Archives of Plastic Surgery·Min Ji YunSung Tack Kwon
Dec 29, 2017·Case Reports in Dermatology·Robert FeldmannAndreas Steiner
Apr 26, 2015·The Journal of the American Academy of Orthopaedic Surgeons·Sanjeev Kakar, Ryan Endress
Jul 9, 2014·Annals of Plastic Surgery·Ji Ung ParkSung Tack Kwon
Feb 7, 2020·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Jamie L MullM Laurin Council
Aug 4, 2015·International Journal of Dermatology·William D Longhurst, Amor Khachemoune
Mar 24, 2016·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Tiffany Y LohShang I Brian Jiang
Jan 1, 2014·Healthcare·John Brad Turner, Brian Rinker

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