摘要
手部腫瘤與身體其他部位之腫瘤比較下，相對性比例少，絕大部份是良性。正確之診斷與先驅惡性腫瘤或惡性腫瘤之鑑別診斷是處理手部腫瘤之重要步驟，目前最常用及都接受之治療方法是在充分之麻醉下施行外科切除並作組織學之診斷。 三軍總醫院從民國七十七年三月至民國八十一年三月共收集359個手部軟組織瘤病例。男與女之比例209/150，年齡從9歲至84歲。最常見之年齡由20歲至50歲，最常見之腫瘤為腱鞘囊腫(ganglion cyst)佔55.7%，其次為巨細胞瘤(giant cell tumor)佔5.7%，其中惡性的只有二例黑色素瘤(melanoma)，病人從發現腫瘤至接受手術之時間最常見為1至5年，佔48%，而接受手術治療最主要之原因是腫瘤變化，佔77.4%。 本文特就本院這幾年治療手部軟組織瘤之經臉提出報告，並就腫瘤之分類，臨牀症狀，治療及組織學變化加以分析討論。
並列摘要
Tumors of the hand are relatively minority when compared to the tumor at the other part of the body. They are mosty benign in nature. Tumors can be classified according to their tissue. Proper diagnosis and differentiation of benign from premalignant of malignant lesions are the most important steps in the management of hand tumors. Surgical excision under adequate anesthesia with histologic diagnosis is the commonest and most accepted treatment. We experienced 359 cases of hand tumor in Tri-Service Gneral Hospital during March 1988 to March 1992. The ratio of male to female is 209/150. The age distribution is from 9 to 84 years old. The most frequent age are from 20 to 50 years old. The most common tumor is ganglion cyst (55.7%) and the second common tumor is giant cell tumor (5.7%). Only 2 cases are malignant melanoma. We present our experience of treatment of hand tumor during these years and make a review of literature.
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