Dr. Suman Saurabh
Orthopedician and Traumatology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I would like a query about hand surgery and hand tumors. My mom's hand had a lump near her wrist which she did not care about. One day while cleaning the house, she pulled her hand and hurt herself in a safe area. But she did not go to a doctor because she said she did not have any pain and she could use her hand properly. After two months, we forced her to go to the doctor. The hand was not broken, but she could not use it or carry things. The doctor suspected cancer, but the tests were negative, and it turned out to be a tumor. My mom underwent an operation where they removed the tumor. The doctor informed us that he would have to do a bone graft so he could fill the hole in her hand because they had to remove some parts of the bone that were infected. Three months after the operation, she went to see the doctor again, who told her to do some X-rays and informed her that a few small tumors had returned which required the amputation of her hand to stop them from growing. We are confused as initially they told us she does not have cancer, so why do they need to remove her hand now? I want a second opinion.
Hello,
Welcome to iclniq.com.
I read your query and can understand your concern.
I am really sorry for your mother. I have seen the picture you sent and read the report (attachment removed to protect the patient's identity). As it shows the evidence of recurrence of the tumor, the best option for her is removing the tumor. However, you did not send the histopathology report to determine if the tumor is benign or malignant in nature. It is because the treatment is dependent on the nature of the tumor. I request you send the histopathology report first.
I hope this helps.
Thanks and take care.
Patient's Query
Hello doctor,
Thank you for your reply.
I believe that malignant is cancerous, and the doctor told us it is not cancer. So we think it is benign. Unfortunately, all the reports are in the hospital.
Hello,
Welcome back to icliniq.com.
I read your query and can understand your concern. I have seen your report (attachment removed to protect the patient's identity). If it is benign, the trial of removal of the tumor can be given once. One more thing. I want to add here is the picture of the MRI (magnetic resonance imaging) you sent is not clear. If the surrounding blood vessels are involved in the tumor, then the removal of the extremity is the best option since it is going to trouble her for a long time. I hope this helps.
Thank you.
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Orthopedician and Traumatology
Orthopedician and Traumatology
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