Primary Tumors of the Hand: Functional and Restorative Management | Dr. Daniel Gould

Dr. Daniel Gould co-authored this review published in the Journal of Surgical Oncology, examining the diagnosis, treatment, and reconstruction of primary malignant tumors affecting the hand. The publication lists Dr. Gould with the Division of Plastic and Reconstructive Surgery at the Keck School of Medicine of USC. 

Primary malignant tumors of the hand are rare, but their location presents unique challenges. Because the hand contains closely interconnected bones, tendons, nerves, blood vessels, and soft tissues, treatment must address cancer control while preserving as much function as possible.

The authors review the major types of malignant tumors that can affect the hand, including bone and soft tissue sarcomas. They discuss the anatomical considerations, pathology, staging, and diagnostic processes that help determine the appropriate course of treatment.

The review also examines surgical management according to tumor type and location. Removing malignant tissue may create complex defects that require reconstructive surgery to restore coverage, stability, movement, and overall hand function.

Dr. Gould and his co-authors highlight reconstructive considerations alongside oncologic treatment, reflecting the importance of considering long-term function from the beginning of surgical planning rather than focusing on tumor removal alone.

The review provides surgeons with a framework for recognizing and managing these uncommon malignancies, bringing together diagnosis, staging, surgical treatment, reconstruction, and long-term surveillance.