Giant Cell Tumour of the Tendon Sheath of the Hand

Garg, Bhavuk; Kotwal, Prakash

doi:10.1177/230949901101900218

Cited by 38 publications

(35 citation statements)

References 5 publications

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“…The GCTTS of the hand is a painless slow-growing mass and many patients only complain of a swelling mass more often located at the palmar surface (1,2,4,10,11,14). In current study, none of the patients had explained pain.…”

Section: Discussionmentioning

confidence: 99%

“…GCTTS may occur at any age but usually presents between third to fifth decades of life and is more prevalent in women (1)(2)(3)(4)(5)(6).…”

Section: Introductionmentioning

confidence: 99%

“…Lack of knowledge about the exact etiology and pathogenesis of the lesion resulted in introducing several names for the lesion including nodular tenosynovitis, localized pigmented villonodular synovitis, fibrous xanthoma, fibrous histiocytoma of the synovium, tenosynovial giant cell tumor, benign synovioma, and sclerosing hemangioma, each of which describes a specific feature of the tumor (1,2,4,7,8). The GCTTS is usually painless and grows slowly (5).…”

Section: Introductionmentioning

confidence: 99%

“…In addition, abnormal lipid metabolism has been suggested to be involved in GCTTS (1,2). Despite the benign nature, local recurrence after excision, with the rate of 4.2% to 28.6%, has been widely reported (1,2,(4)(5)(6)(10)(11)(12). Although radiotherapy can reduce the rate of recurrence (4), recurrent tumors have remained a challenging problem for the hand surgeons.…”

Section: Introductionmentioning

confidence: 99%

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Giant Cell Tumor of Tendon Sheath of the Hand: Experience With Forty-Seven Cases

et al. 2015

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Background: Giant cell tumor of the tendon sheath (GCTTS) is the most common benign tumor of the hand following the ganglion cyst. It is more prevalent in women in third through fifth decades of life. Objectives: The aim of the study was to investigate the demographic and clinical characteristics as well as the rate of recurrence of GCTTS in an Iranian population. Patients and Methods: Medical records of 47 patients with GCTTS were reviewed. Data on demographic characteristics as well as clinical and intraoperative findings were collected. Plain X-rays, magnetic resonance, and ultrasonographic images were observed. Patients were asked about the recurrence of the GCTTS after mean interval of 4.9 ± 2.6 years. Results: Females were predominantly involved (70.2%). Patients aged 38.5 ± 16.2 years at the time of surgery. The middle finger was the most common site of the lesion (27.6%) followed by index finger (25.5%) and thumb (21.3%). The volume of the lesions averaged 3.9 ± 5.5 cm 3 . The GCTTS had invaded the skin (1 patient), bone (1 patient), tendon pulley (6 patients), tendon (4 patients), and digital nerve (2 patients). Osseous erosion was found in two patients. After exact excision, the tumor recurred in four patients (8.5%). None of the variables affected the risk of recurrence. Conclusions:The characteristics of our patients were greatly similar to the previous studies. Exact and complete excision of the lesion under magnification was the keystone of decreased rate of GCTTS recurrence.

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Section: Discussionmentioning

confidence: 99%

“…GCTTS may occur at any age but usually presents between third to fifth decades of life and is more prevalent in women (1)(2)(3)(4)(5)(6).…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Giant Cell Tumor of Tendon Sheath of the Hand: Experience With Forty-Seven Cases

et al. 2015

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“…Current studies are limited to small retrospective series with a varying range (44-74%) of results for location (volar versus dorsal side) (7,(10)(11)(12)(13). A recent systematic review by Fotiadis et al did not look into volar versus dorsal location of GCTTS on digits (2).…”

Section: Discussionmentioning

confidence: 99%

Giant Cell Tumor of the Tendon Sheath

小山田¹,

北島²,

米田³

et al. 2011

Imaging of Pain

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IntroductionG iant cell tumor of tendon sheath (GCTTS) and ganglion cyst are the most common benign tumors of the hand (1, 2). In general GCTTS can present as a solitary subcutaneous nodule of the hand, but it can also occur in other parts of the body such as the spine, ankle, knee and feet (3, 4). However, with an approximate incidence of 1/50,000 per population it remains an uncommon condition (5). The incidence of GCTTS is higher in women than in men and mostly seen in the third to fifth decade (3, 6).The results of previous research are inconsistent regarding whether GCTTS is more often volar or dorsal in the hand, with a tendency for it to occur more often on the volar aspect of the hand (7-10). The occurrence of a volarsided GCTTS has been reported to range between 44 and 76% (7-11). The purpose of this study was to examine a large series of GCTTS in the hand to further assess the relative frequency of dorsal and volar GCTTS. We hypothesized that GCTTS are equally common on the dorsal and volar aspects of the hand. In addition, we hypothesized that there are no factors (i.e., demographic, clinical and pathological) associated with the location (volar versus dorsal side) and largest measured diameter of a GCTTS. Materials and MethodsUnder an IRB approved protocol 278 patients that had operative treatment of a GCTTS between January 2002 and November 2012 were identified using a database of pathology reports. The study was performed in a single tertiary care hospital and the procedures were performed by four experienced hand surgeons. Informed consent was waived for this medical record study. The medical records of all patients aged 18 years or older with a pathologically confirmed GCTTS of the finger or hand were reviewed retrospectively. Pregnant women (IRB mandated) and patients with a recurrence of a GCTTS already surgically treated in our center were excluded. We recorded sex, age, side, dorsal or volar location, finger or hand location and largest measured diameter of the GCTTS. The diameter was obtained from the pathology report. Giant Cell Tumor of Tendon SheathAbstract Background: Giant cell tumor of tendon sheath (GCTTS) is often thought of as a volar finger mass. We hypothesized that GCTTS are equally common on the dorsal and volar aspects of the hand. In addition, we hypothesized that there are no factors associated with the location (volar versus dorsal) and largest measured dimension of a GCTTS.

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Pigmented Villonodular Synovitis in the Hand

Murali

2014

Disorders of the Hand

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Giant Cell Tumour of the Tendon Sheath of the Hand

Cited by 38 publications

References 5 publications

Giant Cell Tumor of Tendon Sheath of the Hand: Experience With Forty-Seven Cases

Giant Cell Tumor of Tendon Sheath of the Hand: Experience With Forty-Seven Cases

Giant Cell Tumor of the Tendon Sheath

Pigmented Villonodular Synovitis in the Hand

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