Oncologists South Saint Paul MN

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Bruce C Bostrom, MD
(612) 813-6282
1162 Ivy Ave E
Saint Paul, MN
Specialties
Oncology (Cancer)
Gender
Male
Education
Medical School: Mayo Med Sch, Rochester Mn 55905
Graduation Year: 1978

Data Provided By:
John Englebert Savage, MD
(651) 220-7557
310 Smith Ave N
Saint Paul, MN
Specialties
Oncology (Cancer), Gynecological Oncology
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1974

Data Provided By:
Karin Irene Armstrong
(651) 602-5200
310 Smith Ave N
Saint Paul, MN
Specialty
Internal Medicine, Hematology / Oncology

Data Provided By:
Irving Jerold Lerner, MD
(651) 241-8459
333 Smith Ave N # 60234
Saint Paul, MN
Specialties
Oncology (Cancer)
Gender
Male
Education
Medical School: Columbia Univ Coll Of Physicians And Surgeons, New York Ny 10032
Graduation Year: 1962

Data Provided By:
John Robert Balfanz, MD
(651) 227-7806
233 Grand Ave
Saint Paul, MN
Specialties
Pediatrics, Medical Oncology
Gender
Male
Education
Medical School: Univ Of Mn Med Sch-Minneapolis, Minneapolis Mn 55455
Graduation Year: 1971
Hospital
Hospital: Childrens Hosp & Clinics, Saint Paul, Mn
Group Practice: Pediatric & Young Adult Medicine

Data Provided By:
Thomas Patterson Ducker, MD
(651) 602-5200
310 Smith Ave N Ste 460 Ritchie Med Plz
Saint Paul, MN
Specialties
Oncology (Cancer)
Gender
Male
Education
Medical School: A Einstein Coll Of Med Of Yeshiva Univ, Bronx Ny 10461
Graduation Year: 1986

Data Provided By:
Paul Duane De Priest, MD
(859) 323-5396
345 Smith Ave N
Saint Paul, MN
Specialties
Oncology (Cancer), Gynecological Oncology, Obstetrics And Gynecology
Gender
Male
Education
Medical School: Univ Of Ky Coll Of Med, Lexington Ky 40536
Graduation Year: 1985

Data Provided By:
Arnold Manfred Herskovic, MD
(651) 241-6463
345 Sherman St
Saint Paul, MN
Specialties
Oncology (Cancer), Radiation Oncology, Diagnostic Radiology
Gender
Male
Education
Medical School: Univ Of Md Sch Of Med, Baltimore Md 21201
Graduation Year: 1969
Hospital
Hospital: Oakwood Hospital, Dearborn, Mi

Data Provided By:
Andrzej Petryk, MD
(651) 602-5200
310 Smith Ave N
Saint Paul, MN
Specialties
Oncology (Cancer)
Gender
Male
Education
Medical School: Akademia Med We Wroclawiu Im Piastow Slaskich, Wroclaw, Poland
Graduation Year: 1991

Data Provided By:
Nicole Lea Wentworth, MD
(858) 554-9489
310 Smith Ave N Ste 400
Saint Paul, MN
Specialties
Oncology (Cancer)
Gender
Female
Education
Medical School: Univ Of Mo-Kansas City Sch Of Med, Kansas City Mo 64108
Graduation Year: 1996

Data Provided By:
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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