- Discussion:
- squamous cell carcinoma: this tumor in the hand requires aggressive treatment (usually amputation);
- is the most frequent primary malignancy of the hand;
- recurrence rates are high (22%), and therefore radical surgical resection is recommended;
- most cases of recurrence (67%) are associated w/ metastatic spread;
- therefore lymphadenectomy is recommended, even though lymph nodes may or may not be palpated