Surgery to remove a tumor from the hand is a complex surgery that requires high surgical skill. The complexity of it is great - maintaining the nerves, blood vessels and tissues near the tumor site is very important. The skill as a microsurgeon that I have accumulated over the years is critical to being able to isolate the various tissues from the tumor itself and making sure the tumor bed is clean after the surgery. Palm of the hand tumors are diverse and numerous but usually benign. Some of the tumors in the palm are considered to be tumors that have a tendency to recur, such as the Giant Cell Tumor, which in Hebrew is called the large cell tumor. It is one of the most common, if not most common, tumors of the palm and tends to be aggressive in the area where it is located or in English Locally Aggressive ie a condition where the tumor tends to reappear in the tumor bed. Surgery for this resection of the palm requires high skill and excellent recognition of the anatomy adjacent to the tumor. Moreover, a good hand surgeon will be able to assess the location of the tumor and also remember that the source of the tumor is in the tendons of the palm and the surrounding tissue. Thus, the relative position of the tumor can be assessed against the adjoining tissues and also locate tissues such as blood vessels and nerves that the tumor has been pressing or enclosing.
The growth of the tumor in the palm can appear for unknown reasons or due to radiation exposure or other reasons.
Often, there is a bulge in the palm that is not a tumor but behaves similarly. For example, a cyst in the palm of the hand which can be ganglion or alternatively an epidermoid cyst. An epidermoid cyst is a finding that can be caused by an infiltration of a thorn or foreign body near or, for example, years after a cut or even a stab.
The epidermoid cyst actually allows skin tissue to penetrate beneath the dermal layer of skin and allows the skin to drop its dead cells into a closed cavity and is actually characterized by the cyst's expansion as the disease progresses.
Another tumor found in the hand that can press on adjacent structures like nerves and blood vessels is the lipoma. Lipoma is a fatty tumor at its base. Lipoma is a tumor that is soft, usually slightly prominent and sometimes disturbing or distressing. My tendency is to think before lipoma resection in surgery. Beyond the fact that it is a benign tumor that can usually be fully removed and lipoma resection surgery is a surgery with high success rates that can be performed through a small incision - removing the finding will prevent the transfer or transformation of the tumor into a problematic finding. A change of lipoma to liposarcoma is very rare in a small lipoma but more often occurs when this type of tumor is large.
Lipoma surgery is done after imaging. The basic imaging is an ultrasound test which will define the tumor location and size and sometimes an MRI test is also needed. Understanding the location of the lipoma-type tumor and the ability to choose the correct location of the incision to extracte the tumor without injury to important nerves or blood vessels is very important. A good hand surgeon knows how to find the right surgical approach and knows how to fully isolate the tumor.
I have a vast experience in performing surgery for excision of tumors of the upper limb and including lipoma, tendon tumors, neural origin tumors such as Schwanoma or Glomus, bone tumors such as osteochondroma and the like. You can also come to the clinic for surgery to remove a foreign body privately.
The clinic staff and myself are waiting for you.