Growths in the hand and wrist

Many people develop lumps and bumps around the hand and fingers. Some might be following trauma to the hand , where some usually superficial cells get deposited into the deep tissue and take root here, forming an epidermoid inclusion cyst. Others develop spontaneously, and among the more serious are the giant cell tumour of tendon sheath (GCTTS) and to a lesser degree glomus tumours.

The GCTTS is not a true tumour and no cases of metastasis have been reported. It however is serious and progressive, and if left unchecked may end in an amputation of the finger. The management of this tumour is operative and it is imperative to get all of the tumour out.

Microsurgical expertise is imperative, as there are high recurrence rates for this lesion, especially if the tumour extends to the tendon and or joint. The glomus tumour is a tumour of the thermoregulatory cells of the finger and presents specifically with intense tenderness over the lesion. It usually occurs in the pulp of the finger, but may involve the nail bed and bone, and can be difficult to access. It is one of the most satisfying conditions to treat, as immediately on surgical excision patients get complete relief of their intense pain.

Conditions Managed

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