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Handchir Mikrochir Plast Chir 2013; 45(01): 42-45
DOI: 10.1055/s-0033-1337936
Fallbericht
© Georg Thieme Verlag KG Stuttgart · New York

Cornu cutaneum giganteum – groteske Manifestation eines Plattenepithelkarzinoms in der Hohlhand

Giant Cornu Cutaneum – A Grotesque Manifestation of Squamosus Cell Carcinoma in the Palm
T. T. Lögters
1   Klinik für Unfall- und Handchirurgie, Universitätsklinikum Düsseldorf, Düsseldorf
,
J. Windolf
1   Klinik für Unfall- und Handchirurgie, Universitätsklinikum Düsseldorf, Düsseldorf
,
M. Schädel-Höpfner
2   Klinik für Unfallchirurgie, Orthopädie und Handchirurgie, Lukaskrankenhaus GmbH, Städtische Kliniken Neuss, Neuss
› Author Affiliations
Further Information

Publication History

eingereicht 21 August 2012

akzeptiert 18 February 2013

Publication Date:
21 March 2013 (online)

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Zusammenfassung

Das Plattenepithelkarzinom (PEK) ist der häufigste maligne Primärtumor an der Hand, in der Hohlhand jedoch extrem selten. In der Regel werden PEK an der Hand aufgrund ihres klinischen Erscheinungsbilds und der gut einsehbaren Lokalisation frühzeitig erkannt. Wir berichten über einen Fall, bei dem die Vorstellung des Patienten erst wegen einer massiven mechanischen Behinderung der Handfunktion durch ein überdimensionales Plattenepithelkarzinom erfolgte. Anhand dieses Falls wird der therapeutische Algorithmus für große PEK an der Hohlhand dargestellt und ­diskutiert.

Abstract

Squamous cell carcinoma is the most common maligne primary tumour of the hand. It is almost always located on the dorsum of the hand, an occurrence in the palm is very rare. Usually these tumours are recognised early because of their clinical presentation and visible location. We report on a case in which the patient presented in our hospital only due to a massive mechanical impairment of his hand function through an oversized squamous cell carcinoma. On the basis of this case the therapeutic algorithm for large squamous cell carcinoma in the palm is illustrated and discussed.

Schlüsselwörter

Plattenepithelkarzinom - Cornu cutaneum giganteum

Key words

squamosus cell carcinoma - giant cornu cutaneum
 

  • Literatur

  • 1 English C, Hammert WC. Cutaneous malignancies of the upper extremity. J Hand Surg Am 2012; 37: 367-377
    CrossrefPubMedGoogle Scholar
  • 2 Maciburko SJ, Townley WA, Hollowood K et al. Skin cancers of the hand: a series of 541 malignancies. Plast Reconstr Surg 2012; 129: 1329-1336
    PubMedGoogle Scholar
  • 3 Breuninger H, Bootz F, Hauschild A et al. Kurzleitlinie – Plattenepithelkarzinom der Haut. J Dtsch Dermatol Ges 2008; 6: S5-S8
    PubMedGoogle Scholar
  • 4 Schiavon M, Mazzoleni F, Chiarelli A et al. Squamous cell carcinoma of the hand: fifty-five case reports. J Hand Surg Am 1988; 13: 401-404
    CrossrefPubMedGoogle Scholar
  • 5 Ağir H, Adams BM, Mackinnon CA. Squamous cell carcinoma of the palm: a case report. Acta Orthop Traumatol Turc 2007; 41: 321-325
    PubMedGoogle Scholar
  • 6 Haslik W, Schrögendorfer KF, Sulzbacher I et al. Höherdifferenziertes verhornendes Plattenepithelkarzinom in einer Palmarfibromatose (M. Dupuytren) – Fallbericht. Handchir Mikrochir Plast Chir 2011; 43: 54-56
    Article in Thieme ConnectPubMedGoogle Scholar
  • 7 Dormand EL, Ridha H, Vesely MJ. Long-term outcome of squamous cell carcinoma of the upper and lower limbs. J Plast Reconstr Aesthet Surg 2010; 63: 1705-1711
    CrossrefPubMedGoogle Scholar
  • 8 Petzelbauer P, Hammer I, Konrad K. Cornu cutaneum. Hautarzt 1989; 40: 556-568
    PubMedGoogle Scholar
  • 9 McLaughlin JS, Shafritz AB. Cutaneous warts. J Hand Surg Am 2011; 36: 343-344
    CrossrefPubMedGoogle Scholar
  • 10 Fang F, Zhao L, Jiang MJ et al. Epidermodysplasia Verruciformis with severe hand and foot deformity successfully treated with surgical excision. J Plast Reconstr Aesthet Surg 2008; 61: 338-341
    CrossrefPubMedGoogle Scholar
  • 11 Huang CC, Boyce SM. Surgical margins of excision for basal cell carcinoma and squamous cell carcinoma. Semin Cutan Med Surg 2004; 23: 167-173
    CrossrefPubMedGoogle Scholar
  • 12 Joyner KS, Wilson B, Wagner RF et al. Marginal excision of squamous cell carcinomas of the hand. Orthopedics 2008; 31: 79
    PubMedGoogle Scholar
  • 13 Brodland DG, Zitelli JA. Surgical margins for excision of primary cutaneous squamous cell carcinoma. J Am Acad Dermatol 1992; 27: 241-248
    CrossrefPubMedGoogle Scholar
  • 14 Haase SC, Chung KC. Skin Tumors. In: Green‘s Operative Hand Surgery. Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SN Elsevier, Churchill Livingstone 2011; p2121-2140
    PubMedGoogle Scholar