Role of Preoperative Imaging in Hand Tumors Comparative Analysis of Clinical and Radiological Prediagnosis with Histological Results in 121 Consecutive Patients

Özay Özkaya, Ayça Ergan Sahin, Tolga Aksan and Firat Keskiner

Department of Plastic Reconstructive and Hand Surgery, Okmeydani Training and Research Hospital, Istanbul, Turkey
Department of Radiology, Lefkoşe Dr Burhan Nalbantoğlu State Hospital, Lefkoşe, Cyprus

^*Correspondance to: Ayca Ergan Sahin 

 PDF  Full Text DOI: 10.25107/2474-1647.1594

Abstract

Background: Tumors of the hand and wrist differ from tumors located elsewhere in the body. Preoperative radiologic imaging is frequently requested in hand tumors, mostly with an aim to contribute to preoperative diagnosis and define tumor extent. The purpose of our study was to perform an analysis of primary tumors of the hand in 121 patients and assess the role of preoperative radiological imaging in hand tumors.Methods: Between 2007 and 2011, we operated 112 patients due to primary soft tissue and bone tumors of the hand. Patient demographics, tumor location, affected side (right or left), clinical prediagnosis, requested radiologic examinations and radiologic prediagnosis, treatment protocol, recurrences during the postoperative follow up period were recorded. Pathology reports were analyzed and compared with the preoperative diagnosis based on radiologic studies and clinical diagnosis.Results: Ganglion cysts were the most common tumor type, constituting 25% (n=30) of the tumors, followed by giant-cell tumors of tendon sheath (GCTTS) and lipomas with rates 13% (n=16), and 12% (n=15), respectively. Among these patients, the most frequently requested radiological methods were MRI in 84% (n=69), USG in 13.4%, and CT in 2.4%. Comparison according to tumor type showed that MRI was 84.6% sensitive for lipoma, 62.5% for ganglion cyst, 57.1% for giant-cell tumor of tendon sheath, and 55.6% for hemangioma. Accuracy of clinical prediagnosis without any radiological imaging was 76.8%.Conclusion: The result of the present study suggest that although preoperative imaging methods are useful for predicting local extension of tumor and tumor size, they are inferior to clinical examination in the diagnosis of hand tumors.

Keywords

Neoplasms; Connective tissue; Radiographic image interpretation

Cite the article

�zkaya �, Sahin AE, Aksan T, Keskiner F. Role of Preoperative Imaging in Hand Tumors Comparative Analysis of Clinical and Radiological Prediagnosis with Histological Results in 121 Consecutive Patients. Clin Surg. 2017; 2: 1594.