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Extended ray resection for sarcoma of the hand: long-term survival and functional results

GND
1022907832
ORCID
0000-0002-4727-5699
Affiliation
Department of General, Visceral and Transplantation Surgery, University Hospital Essen, Essen, Germany
Farzaliyev, Farhad;
GND
1028572085
Affiliation
Department of General, Visceral and Transplantation Surgery, University Hospital Essen, Essen, Germany
Steinau, Hans-Ulrich;
GND
1212625080
Affiliation
Department of General, Visceral and Transplantation Surgery, University Hospital Essen, Essen, Germany
Karadag, Halil-Ibrahim;
GND
1120022738
Affiliation
Department of General, Visceral and Transplantation Surgery, University Hospital Essen, Essen, Germany
Touma, Alexander;
GND
124989713
LSF
13121
Affiliation
Department of Tumor Orthopedics and Sarcoma Surgery, University Hospital Essen, Essen, Germany
Podleska, Lars Erik
In this retrospective study, we analysed the long-term oncological and functional results after extended ray resection for sarcoma of the hand. Recurrence-free and overall survivals were calculated using the Kaplan–Meier method. The function of the operated hand was assessed with the Michigan Hand Questionnaire and compared with the contralateral side. Extended ray resection was performed in 25 out of 168 consecutive patients with soft-tissue and bony sarcomas of the hand. The overall 5- and 10-year, disease-specific survival rates were 86% and 81%, respectively. Local recurrences were observed in two patients. The Michigan Hand Questionnaire score for the affected hand at follow-up in nine patients was 82 points versus 95 for the healthy contralateral hands. We conclude that extended ray resection of osseous sarcomas breaking through the bone into the soft tissue or for soft tissue sarcomas invading bone is a preferable alternative to hand ablation when excision can be achieved with tumour-free margins.

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Date Issued:
11.11.2019
URN:
urn:nbn:de:hbz:465-20220304-102134-3
DOI:
10.1177/1753193419885039
Language:
English
Type of Resource:
Text
Keywords:
Ray resection; sarcoma of the hand; Michigan hand questionnaire
Collection:
E-Publications
Subject categories of the Deutsche Nationalbibliografie:
610 Medical sciences Medicine
Hosting institution:
Faculty of Medicine, Essen University Hospital, Surgical Clinic
Hosting institution:
Faculty of Medicine, Essen University Hospital, Zentrum für Orthopädie und Unfallchirurgie, Klinik für Orthopädie und Unfallchirurgie
funding:
Dieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG-geförderten) Allianz- bzw. Nationallizenz frei zugänglich.
This publication is with permission of the rights owner freely accessible due to an Alliance licence and a national licence (funded by the DFG, German Research Foundation) respectively.
Info on primary publication:

Farzaliyev, F., Steinau, H.-U., Karadag, H.-I., Touma, A., & Podleska, L. E. (2020). Extended ray resection for sarcoma of the hand: long-term survival and functional results. Journal of Hand Surgery (European Volume), 45(2), 160–166. https://doi.org/10.1177/1753193419885039

First Published November 11, 2019

 

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