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Tumorlike Lesions and Benign Tumors of the Hand and Wrist

Dr. Plate is Assistant Professor, New York University School of Medicine, and Assistant Attending Physician, Hand Service, NYU–Hospital for Joint Diseases, New York, NY. Dr. Lee is Clinical Instructor, Lenox Hill Hospital, New York. Dr. Steiner is Professor of Surgical Pathology, New York University School of Medicine, and Chairman, Department of Pathology, NYU–Hospital for Joint Diseases. Dr. Posner is Clinical Professor, Orthopedic Surgery, New York University School of Medicine, and Chief of Hand Service, NYU–Hospital for Joint Diseases.

Reprint requests: Dr. Posner, 2 East 88th Street, New York, NY 10128.

A broad spectrum of tumorlike lesions and neoplasms can occur in the hand and wrist, although with somewhat less frequency than in other parts of the body. A thorough understanding of the differential diagnosis of these lesions and a comprehensive strategy for evaluation are central for effective care. Plain radiographs are diagnostic for most bony lesions, whereas magnetic resonance imaging may be necessary to help differentiate a benign soft-tissue lesion from the rare malignant neoplasm. In spite of the complex anatomy, adherence to proper oncologic principles most often will lead to a satisfactory outcome.