Nodular giant cell tumour of the tendon sheath of the hand: analysis of eighty-four cases—diagnostic decisions and outcome

Lautenbach, M.; Kim, Simon; Millrose, Michael; Eisenschenk, A.

doi:10.1007/s00264-013-1994-2

Cited by 23 publications

(41 citation statements)

References 15 publications

(24 reference statements)

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“…Reported recurrence rates of GCTTSs differ in the literature. During 31.5 months of follow-up, a 2.4% recurrence rate was noted in a study of 84 patients by Lautenbach et al (18) Darwish and Haddad reported a recurrence rate of 24% after excision of GCTTSs in a study of 52 patients; the GCTTSs most commonly arose from the thumb. (19) In contrast, most of the GCTTSs in our study occurred on the index finger, with none arising from the thumb.…”

Section: Discussionmentioning

confidence: 95%

Incidence and anatomical distribution of hand tumours: a Singapore study

Tang

Rajaratnam

Desai

2017

smedj

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RESULTS Overall, the most common tumours excised from the hand were ganglions (n = 66/116, 56.9%) and giant cell tumours of the tendon sheath (GCTTSs; n = 11/116, 9.5%). However, distal to the MCPJs, GCTTSs (n = 11/39, 28.2%) were more common than ganglions (n = 7/39, 17.9%). Most of the ganglions (n = 59/66, 89.4%) arose from between the CMCJs and RCJ.CONCLUSION Most hand tumours were benign. Ganglions were the most common tumours between the CMCJs and RCJ, while GCTTSs were the most common tumours distal to the MCPJs.

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Section: Discussionmentioning

confidence: 95%

Incidence and anatomical distribution of hand tumours: a Singapore study

Tang

Rajaratnam

Desai

2017

smedj

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“…4,5 It can be seen at any age but mostly affects individuals in their third to fifth decades of life and is mostly seen in females. [6][7][8] GCTTS has not previously been reported in a pregnant woman. Etiology of GCTTS is not clear but there are many risk factors mentioned in the literature such as trauma, infection, vascular abnormality, lipid metabolism disorders, osteoclastic proliferation, and immune system disorders.…”

mentioning

confidence: 74%

“…Although the GCTTS, also known as the pigmentedvillonodular tumor of the tendon sheath, is a benign nodular tumor of the hand arising from the tendon sheaths, 5,8 the incidence of cases originating from the foot and ankle is increasing. 1,2 The localized GCTTS especially affects the small joints in the limb and usually presents as a solid-solitary soft-tissue mass, but simultaneous multi-fragmented lesions in the foot are uncommon.…”

Section: Discussionmentioning

confidence: 99%

A Pregnant Woman with Multi-Fragmented Giant Cell Tumor of Tendon Sheath: A Rare Anatomical Location

Arıcan¹,

Turhan²

2020

Journal of the American Podiatric Medical Association

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Giant cell tumor of the tendon sheath (GCTTS) in the foot is a rare pathology and is involved in the differential diagnosis of soft tissue tumors of the foot and ankle. Although it can affect any age group, mainly occurs at the 3rd and 5th decade, with being more common in female. Histopathological examination is a major definitive method for diagnosis, although physical examination and radiological imaging are help-full to reach a diagnosis preoperatively. There are many treatment options but marginal excision is the most commonly used one among them. Here in, A 26-year-old pregnant woman with a multi-fragmented mass which is located at extending from the 1st web space to the plantar aspect of the metatarsophalangeal joint (MTP) of left great toe associated with flexor hallucis longus tendon after trauma. She had pain which worse with activity and wearing shoes. After pregnancy, a marginal excision with dorsal longitudinal incision in 1st web space was performed under spinal anesthesia. The lesion was diagnosed as a localized type tenosynovial giant cell tumor. At the last control on the 23rd month, the patient is doing well and there was no recurrence of the lesion. GCSST should be considered in the differential diagnosis of plantar masses of foot. Although, ıt is frequently seen in female, ıt has not been previously reported in a pregnant woman of this extremely rare condition after trauma.

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“…El diagnóstico diferencial clínico es extenso. La ecografía identificaría una lesión sólida, generalmente homogénea, hipo o hiperecoica o, en menos ocasiones, heterogénea, con vascularización aumentada en el estudio Doppler, y en relación con la vaina del tendón, con el que no se moviliza por ese motivo [6][7][8] . También permitiría descubrir lesiones satélites y, aunque podría confundirse con quistes sinoviales rotos, la confusión no tiene trascendencia terapéutica si se interviene.…”

Section: Comentario/discusiónunclassified

“…Entre las pruebas complementarias de imagen, la RM es considerada por algunos como la prueba de imagen más precisa para el diagnóstico 4,7,8 , El tratamiento de los TCGVT se basa en la extirpación completa de la lesión. La técnica parece más fiable con exposiciones amplias y usando gafas de aumento o instrumental microquirúrgico 6,9 . La radioterapia, aunque controvertida, podría indicarse en los casos con más riesgo de recidiva (con mitosis, compromiso óseo o resección lesional incompleta).…”

Section: Comentario/discusiónunclassified