gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Squamous cell Carcinoma – “The most common Hand malignancy”

Meeting Abstract

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  • presenting/speaker Christoph Tasch - University Hospital for Plastic Surgery Innsbruck, Medical University, Innsbruck, Austria
  • Evi Morandi - University Hospital for Plastic Surgery Innsbruck, Medical University, Innsbruck, Austria
  • Robert Zimmermann - University Hospital for Plastic Surgery Innsbruck, Medical University, Innsbruck, Austria
  • Eva-Maria Baur - University Hospital for Plastic Surgery Innsbruck, Medical University, Innsbruck, Austria

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1108

doi: 10.3205/19ifssh1256, urn:nbn:de:0183-19ifssh12567

Veröffentlicht: 6. Februar 2020

© 2020 Tasch et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objectives/Interrogation: According to literature squamous cell carcinoma is the most frequent malignant tumor of the hand with 58-90%. In particular organ transplant patients have a 65 to 200 times greater risk of developing squamous cell carcinoma with more aggressive progression compared with the general population.

Methods: On the basis of our patients between 2013-2017 we want to work up squamous cell carcinoma in the hand, provide a literature review and give treatment guidelines.

Results and Conclusions: At the University Hospital for Plastic, Reconstructive and Aesthetic Surgery Innsbruck 24 squamous cell carcinoma out of 32 malignant/semimalignant skin tumors (melanoma n=6, basal-cell carcinoma n=2) were presented between 2013 and 2017. The average age at diagnosis was 72, with a 1:1 male to female ratio. In 75% the tumor was localized on the dorsum of the hand. In 3 Patients who underwent immunusuppression after organ transplantation, squamous cell carcimoa was characterized by rapid growth, multiple lesions and a high rate of local recurrence.

As stated in literature squamous cell carcinoma was the most common hand malignancy in our patients. Especially in organ transplant recipients squamous cell carcinoma was more aggressive than in nonimmunocompromised patients and therefore these patients should be routinely screened at regular intervals for skin lesions. As hand surgeons, it is important to know about the risk of squamous cell carcinoma (SCC) in the upper extremity.