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The Thumb pp 273-283 | Cite as

Malignant Tumors

  • Sung Tack Kwon
  • Byung Jun Kim
Chapter

Abstract

Squamous cell carcinoma (SCC) is the most frequent malignant skin tumor that arises in the hand, followed by basal cell carcinoma (BCC) and malignant melanoma (MM). Meticulous history taking and careful physical examinations of skin lesions with suspicion are important, as these lesions can easily be misdiagnosed as simple ulcers or benign pigmented lesions. Once the diagnosis is confirmed, general metastasis workups are required especially for MMs. Sentinel biopsy of the axillary lymph node should be performed for high-risk groups. Complete excision of the tumors with an adequate surgical margin is the treatment of choice. The safety margin is largely determined on the basis of the size of the tumors for BCCs and SCCs and the depth of the tumors for MMs. The complete excision should be followed with reconstructive surgery to preserve hand function. The overall prognosis is poor especially for MMs with deep invasion or subungual lesions.

Keywords

Thumb Basal cell carcinoma Squamous cell carcinoma Melanoma 

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Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Sung Tack Kwon
    • 1
  • Byung Jun Kim
    • 1
  1. 1.Department of Plastic and Reconstructive SurgerySeoul National University HospitalSeoulSouth Korea

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