Organ-preserving operations for the removal of neoplasms of the hand on the example of a clinical case

Abstract

The relevance of the problem of injuries, diseases, neoplasms of the hand and the search for the least traumatic, organ-preserving and minimizing dysfunction treatment methods does not lose its importance. The article presents a clinical case of a patient with a neoplasm of the first finger of the hand. For 2 years, he was worried about pain in the distal phalanx, periodically increasing, against this background, a wound with a curdled discharge opened, after which the pain practically stopped. At the outpatient stage, the patient underwent laboratory (general and biochemical blood tests, coagulogram, urine analysis) and instrumental research methods (X-ray, MSCT), as well as a biopsy of the neoplasm. Morphologically, the picture of an epidermal cyst with resorption has been established. Intraosseous resection (curettage) of the neoplasm was performed on the basis of the outpatient surgery center of the Hospital No. 1. According to the histological examination of the obtained intraoperative material, the formation corresponded to an epidermal cyst with chronic inflammation. 3 weeks after the surgical treatment, the patient began the duties of a musician (playing the piano), without noting the discomfort in his finger. The analysis of the demonstrated clinical case, as well asliterature data, emphasizes the role and importance of outpatient surgeons, the need for the correct choice of minimally invasive surgical tactics in order to preserve the functional activity of the hand and shorten the patient’s rehabilitation time.