MR evaluation of giant cell tumors of the tendon sheath

Sherry, Cynthia S.; Harms, Steven E.

doi:10.1016/0730-725x(89)90704-2

Cited by 43 publications

(21 citation statements)

References 4 publications

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“…L-GCTTS typically exhibits small, scattered foci of low signal on T1WIs and T2WIs due to the presence of hemosiderin (15). The lesion may also be characterized by a low signal intensity capsule as a result of fibrosis or hemosiderin deposition.…”

Section: Discussionmentioning

confidence: 99%

Giant cell tumor of the tendon sheath: Magnetic resonance imaging findings in 38 patients

et al. 2017

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Abstract. The present study aimed to investigate the value of magnetic resonance imaging (MRI) in the diagnosis of giant cell tumor of the tendon sheath (GCTTS), including localized (L-) and diffuse (D-) types. A total of 38 patients with GCTTS, including 31 with L-GCTTS and 7 with D-GCTTS, diagnosed by surgery and pathology, were retrospectively analyzed. All patients underwent MRI examination. Of the 31 patients with L-GCTTS, the tumors were located in the hand and wrist (18 patients), the ankle and foot (10 cases), the knee joint (2 cases) and the temporomandibular joint (1 case). All 31 lesions were either located in relation to a tendon or were partially/completely enveloping it and all were well marginated. With respect to the 7 D-GCTTS patients, the tumors were located in the ankle and foot (6 cases) or the hand and wrist (1 cases). All 7 lesions presented as an aggressive soft tissue mass infiltrating the tendon sheath and adipose tissue around the joint. The characteristic internal signal of GCTTS, including L-GCTTS and D-GCTTS, was demonstrated by MRI examination. MRI is currently the optimal modality for preoperative assessment of tumor size, extent and invasion of adjacent joint and tenosynovial space.

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Section: Discussionmentioning

confidence: 99%

Giant cell tumor of the tendon sheath: Magnetic resonance imaging findings in 38 patients

et al. 2017

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“…MR imaging displays a well-defined lobulated mass, attached to the tendinous sheath (Figs. 12, 13) [11,38,39,40,41,42,43,44). These lesions show a characteristic growth pattern with enveloping of the affected tendon [39].…”

Section: Giant Cell Tumor Of Tendon Sheathmentioning

confidence: 95%

“…Typically, affected tendons have normal low signal intensity in all sequences. The signal characteristics of GCTTS depend on the amount of hemosiderin deposition, but are basically identical to those of PVNS: intermediate to low signal on T1-weighted images and low signal on T2-weighted images [11,38,39,40,41,42,43,44) (Figs. 12, 13).…”

Section: Giant Cell Tumor Of Tendon Sheathmentioning

confidence: 96%

MR imaging of synovial tumors and tumor-like lesions

Narváez¹,

Narváez

Aguilera³

et al. 2001

Eur Radiol

134

104

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The clinical diagnosis of synovial tumors and tumorlike lesions is difficult, and radiographic findings may establish a confident diagnosis only in some cases. MR imaging has become the modality of choice in evaluating these lesions, because with it a presumptive diagnosis can be made in most cases. Our goal is to review the MR features of pigmented villonodular synovitis, giant-cell tumor of the tendon sheath, synovial chondromatosis, synovial hemangioma, lipoma arborescens, synovial cysts and synovial sarcoma, emphasizing those findings that suggest a specific diagnosis.

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“…Their series contained only one case of GCTTS that had amorphous periarticular mineralization. When encountered, a soft tissue mass that exhibits intralesional mineralization on plain radiographs should be evaluated further with MRI, which is the preferred modality to determine the composition of a lesion and its anatomic relationship to surrounding structures [14,21]. This relationship reportedly influences the risk of recurrence [27].…”

Section: Discussion and Treatmentmentioning

confidence: 99%

Orthopaedic Case of the Month: A 51-year-old Man with a Painless Wrist Mass

Nicolescu

Clifford

Robinson

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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A 51-year-old right-hand dominant man was evaluated for an enlarging, painless left wrist mass of 2 months duration. The patient reported no recent injury or antecedent trauma and denied any local neurologic symptoms, fevers, chills, or changes in weight.Physical examination revealed a nontender, 3 9 2-cm firm, mobile mass overlying the volar aspect of the left distal ulna. There was no rash or other identifiable overlying skin changes, and the lesion did not transilluminate. The patient had normal strength and ROM, and sensation to light touch was intact in all three nerve distributions. There was a negative Tinel's sign and the mass was nonpulsatile with a normal vascular examination.AP and lateral views of the left wrist ( Fig. 1) and MRI of the wrist (Fig. 2) were obtained.

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MR evaluation of giant cell tumors of the tendon sheath

Cited by 43 publications

References 4 publications

Giant cell tumor of the tendon sheath: Magnetic resonance imaging findings in 38 patients

Giant cell tumor of the tendon sheath: Magnetic resonance imaging findings in 38 patients

MR imaging of synovial tumors and tumor-like lesions

Orthopaedic Case of the Month: A 51-year-old Man with a Painless Wrist Mass

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