Tumeur ténosynoviale à cellules géantes, diffuse des parties molles de l'avant-bras. À propos d'un cas

Fnini, S.; Ouarab, M.; Cohen, Douglas S.; Trafeh, M.

doi:10.1016/s1297-3203(01)00040-3

Cited by 4 publications

(5 citation statements)

References 4 publications

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“…Unusual locations has been reported such a location in the palm of the hand [11]. Subungual localization [12,13] and a double localization on the thumb without contact between the two tumors [14,15]. GCT is as a generally single mass (), painless, slowgrowing that can be spread over twenty years (from a few months to 30 years), variable in size from 0.5 cm to 5 cm, lobed, adherent to the deep structures and mobile compared to superficial level except for distal tumors where it may exist a skin adhesion.…”

Section: Discussionmentioning

confidence: 99%

Giant Cells Tumors of Synovial Sheaths of the Hand are Benign Tumors with a Good Prognosis

Edgar¹,

Rafael²,

Mason³

et al. 2017

JDD

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Introduction: The giant cells tumors (GCT) of the hand are common benign tumors that pose a recurrence problem. The aim of our study is to analyze epidemiological and clinical data, evaluate results and determine the recurrence risk factors. Materials and Methods: This is a retrospective study of 50 patients operated between 2003 and 2015 for a (GCT) of the hand, we observed epidemiological data, clinical outcome (quotation TAM score Kapandji and quick DASH), the appearance of recurrence, the histological appearance, localization, excision margins and invasion of adjacent anatomical structures were analyzed. Results: We report a retrospective study over thirteen years of 50 cases of GCT of the hand, with a mean age of 42 years and a sex ratio of 1/3. The motive for consulting was the presence of a digital mass, followed by discomfort bending in 20%. Palmar localization was found in 54%, especially at the second ray (30%) and facing the distal phalanx (38%). The radiograph showed soft tissue opacity in 60% of cases. All patients underwent surgery, the macroscopic appearance showed an encapsulated, lobed and yellow chamois tumor in 80% of cases. The mean follow up was 30 months with extremes of 2 months to 10 years. We noted 5 recurrences one of which recurred twice; the average time to recurrence was 22 months and ranged from 6 months to 36 years. In each subsequent offense we noted an intra-articular tumor development in 4 cases and tendon erosion in one case. Functional complications type of stiffness in flexion in 2 cases and hypoesthesia of a finger in 2 cases. The quick way DASH was 2.2 on 100. Conclusion: The GCT of synovial sheaths of the hand are a benign tumors with a good prognosis, the main problem is the risk of recurrence that depends on the type of tumor, intra articular tumor development and quality of tumor resection.

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Section: Discussionmentioning

confidence: 99%

Giant Cells Tumors of Synovial Sheaths of the Hand are Benign Tumors with a Good Prognosis

Edgar¹,

Rafael²,

Mason³

et al. 2017

JDD

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“…Elles peuvent intéresser la synoviale articulaire, les gaines tendineuses ou les bourses séreuses [2]. La pathogénie de cette tumeur reste discutée.…”

Section: Discussionunclassified

“…L'évolution de la tumeur est purement locale, la croissance est lente et progressive. Dans la forme diffuse, des destructions ostéoarticulaires et des envahissements musculaires sont rapportés [2,3,6]. Dans notre cas, la tumeur a envahi le muscle carré pronateur, ce qui a nécessité sa résection.…”

Section: Discussionunclassified

“…Dans notre cas, la tumeur a envahi le muscle carré pronateur, ce qui a nécessité sa résection. Malgré des rares cas de TCG synoviales malignes rapportés dans la littérature [4,6], la plupart des auteurs précisent que cette tumeur ne donne jamais de métastase et ne subit pas de transformation maligne [2,3,8]. L'association TCG synoviale du poignet et syndrome du canal carpien était rapportée à travers un cas par Chalmers et al [9].…”

Section: Discussionunclassified

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Tumeur ténosynoviale à cellules géantes diffuse du poignet révélée par un syndrome du canal carpien : à propos d’un cas

Essi

Younsi

Abkari

et al. 2012

Chirurgie de la Main

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“…La TCGGS se présente comme une masse généralement unique, indolore à croissance lente qui peut s'étaler sur une vingtaine d'années (quelques mois à 30 ans), de taille variable de 0,5 à 5 cm, polylobée, fixée aux structures profondes, mobiles sous la peau sauf pour les tumeurs distales où il peut exister une adhérence cutanée [7,8]. Des localisations inhabituelles ont été rapportées telles qu'une localisation à la paume de la main par Mizushima et al [9] ; une localisation sous-unguéale dont nous en avons un cas [10,11] et enfin une double localisation sur le pouce sans contact entre les deux tumeurs [12].…”

Section: Discussionunclassified

Les tumeurs à cellules géantes des gaines synoviales de la main: à propos de 32 cas

Messoudi

Fnini

Labsaili

et al. 2007

Chirurgie de la Main

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Tumeur ténosynoviale à cellules géantes, diffuse des parties molles de l'avant-bras. À propos d'un cas

Cited by 4 publications

References 4 publications

Giant Cells Tumors of Synovial Sheaths of the Hand are Benign Tumors with a Good Prognosis

Giant Cells Tumors of Synovial Sheaths of the Hand are Benign Tumors with a Good Prognosis

Tumeur ténosynoviale à cellules géantes diffuse du poignet révélée par un syndrome du canal carpien : à propos d’un cas

Les tumeurs à cellules géantes des gaines synoviales de la main: à propos de 32 cas

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