Oncologists Grand Forks ND

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William Richard Noyes, MD
(701) 780-5860
1451 44th Ave S Unit EAST
Grand Forks, ND
Specialties
Oncology (Cancer), Radiation Oncology
Gender
Male
Education
Medical School: Univ Of Nd Sch Of Med, Grand Forks Nd 58201
Graduation Year: 1989

Data Provided By:
Todor N Dentchev, MD
(701) 780-6363
960 S Columbia Rd
Grand Forks, ND
Specialties
Oncology (Cancer)
Gender
Male
Education
Medical School: Sofia Med Academy, Fac Of Med, Sofia, Bulgaria
Graduation Year: 1984

Data Provided By:
Marshall Winchester
(701) 780-6000
960 S Columbia Rd
Grand Forks, ND
Specialty
Radiation Oncology

Data Provided By:
Daniel J Walsh
(701) 780-6000
960 S Columbia Rd
Grand Forks, ND
Specialty
Hematology / Oncology, Medical Oncology

Data Provided By:
Todor Dentchev
(614) 383-6000
960 S Columbia Rd
Grand Forks, ND
Associated Hospitals
Altru Health Syst

Robert Peter Sticca, MD
(701) 777-3067
501 N Columbia Rd
Grand Forks, ND
Specialties
Oncology (Cancer), General Surgery
Gender
Male
Education
Medical School: Univ Of Ct Sch Of Med, Farmington Ct 06032
Graduation Year: 1984
Hospital
Hospital: Greenville Hospital System, Greenville, Sc
Group Practice: Upstate Surgical Oncology

Data Provided By:
Todor N Dentchev
(701) 780-6000
960 S Columbia Rd
Grand Forks, ND
Specialty
Hematology / Oncology, Medical Oncology

Data Provided By:
Daniel John Walsh, MD
(701) 780-6390
1000 S Columbia Rd
Grand Forks, ND
Specialties
Oncology (Cancer)
Gender
Male
Education
Medical School: Univ Of Il Coll Of Med, Chicago Il 60680
Graduation Year: 1991

Data Provided By:
Kevin G Panico
(701) 780-6000
960 S Columbia Rd
Grand Forks, ND
Specialty
Hematology / Oncology

Data Provided By:
Daniel Walsh
1000 S Columbia Rd
GRAND FORKS, ND
Associated Hospitals
Altru Health Syst Cancer Ctr

Data Provided By:

What To Do About Benign Tumors of the Hand

Benign tumors may not spread and cause death but they can create significant problems just the same. Tumors of the hand (the focus of this article) can wrap themselves around nerves, cut off blood supply, and cause fractures. Undiagnosed and untreated, they can invade surrounding soft tissues and eat away at the bone causing significant loss of motion, deformity, and disability.

Although benign tumors of the hand are fairly common, there are no large studies comparing one treatment to another. Therefore, today's modern treatment is largely based on the hand surgeon's experience and what little information can be gleaned from case studies published in medical journals.

That's why these two hand surgeons combined their knowledge and expertise in presenting an up-to-date review on benign tumors of the bone and soft tissues of the hand. They base their recommendations on studies that are available and on their own experiences. The authors point out the fact that many tumors in the hand are treated based on similar tumors in other parts of the body, not necessarily from experience or evidence with hand tumors.

Benign tumors under consideration can affect the bone (e.g., osteoid osteoma, cysts, giant cell tumors), cartilage (e.g., osteochondroma, enchondroma, periosteal chondroma, fibromas), fat/connective tissue (e.g., lipomas, giant cell tumor of tendon sheath), nerves (e.g., Schwannoma, neurofibroma), and blood vessels (e.g., glomus tumor).

The authors discuss each one of these benign tumors, their clinical presentation, diagnosis, and treatment. The diagnosis is made when patients observe an odd lump under the skin or hard bump on the bone. Concern about what this might be brings them into see the doctor. Pain, swelling, and local tenderness are the most common symptoms (when symptoms are present).

X-rays or other diagnostic imaging tests (CT scan, MRI) and biopsy help make the diagnosis. Many times, it's quite obvious that the problem is a benign tumor of the hand so biopsy isn't necessary.

Conservative (nonoperative) care may be possible for some tumors. Aspirin for pain management seems to work well for osteoid osteomas (benign bone tumors). Radiofrequency ablation (a heat treatment) has been tried for other tumors of this type elsewhere in the body.

A few studies have been published with mixed results of radiofrequency ablation with hand tumors. The structures of the hand are so small, it's easy to damage the small bones of the hand, as well as the tiny nerves, and blood vessels.

But many tumors must be carefully removed, a procedure called surgical excision. If a large amount of bone is removed, bone replacement called grafting may be needed to fill in the hole. When the cartilage is involved, the surgeon does everything possible to preserve the joint surface.

If bone fracture has already occurred (and that's why the patient was diagnosed), treatment involves removing the tumor as well as healing t...

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