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May 1929


Author Affiliations

From the Departments of Surgery and Anatomy, Northwestern University School of Medicine, and the Surgical Service of Dr. Allen B. Kanavel and Dr. Sumner L. Koch, Wesley Memorial Hospital, Chicago.

Arch Surg. 1929;18(5):2107-2158. doi:10.1001/archsurg.1929.01140140063004

Carcinoma of the hand forms an interesting chapter in the study of the surgical treatment of the upper extremity. The incidence of neoplasms of the hand is not great, though of the malignant ones carcinoma is by far the most frequent and important. Despite the fact that injury, chronic infections and scars play important etiologic rôles in the development of nearly 40 per cent of carcinomas of the hand (exclusive of roentgen carcinoma), scarcely 10 per cent of cutaneous carcinoma occurs in this location. Winiwarter1 found only nine instances of carcinoma of the extremities among 548 cases of cancer. Gurlt2 collected a series of 3,422 reported instances of carcinoma, and of these 1,160 were of the face and only 155 were located on the extremities. Heimann,3 in a much larger series of 20,544, reported but 207 on the extremities, 124 on the lower and eighty-three on the

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