scholarly journals Tuberculous Tenosynovitis Presenting as Ganglion of Wrist

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Shahaji Chavan ◽  
Shyamsunder Shambhu Sable ◽  
Sachin Tekade ◽  
Prashant Punia
Keyword(s):  
Giant Cell Tumor ◽  
Giant Cell ◽  
Histopathological Examination ◽  
Wrist Joint ◽  
Developed Countries ◽  
Tendon Sheath ◽  
Cell Tumor ◽  
Left Wrist ◽  
Rice Bodies ◽  
Tuberculous Tenosynovitis

Tuberculosis (TB) is still endemic in many developed countries. Involvement of the hand and wrist at presentation is extremely rare, and the diagnosis is often missed. A 57 years old male presented with swelling over the left wrist since 3 years Three swellings over dorsal aspect of the left wrist Soft in consistency Non tender Non compressible Mobile at right angles to the plane of the wrist joint. ESR: 45 mm in 1 hr and rest blood investigations were normal. Ultrsonography showed giant cell tumor of Extensor Digitorum sheath. X-ray: soft tissue swelling and MRI was suggestive of extensor tendon sheath extraskeletal synovial Koch’s, or giant cell tumor of tendon sheath. Excision of swelling was planned and intraoperatively, rice bodies were seen inside it. Histopathological examination showed caseous necrosis with granuloma formation. Patient was put on DOT1 therapy. Tuberculous tenosynovitis was first described by Acrel in 1777. Rice bodies occurring in joints affected by tuberculosis were first described in 1895 by Reise. Rice bodies will be diagnosed on plain radiographs when mineralization occurs. More than 50% of cases recur within 1 year of treatment. The currently recommended 6-month course is often adequate with extensive curettage lavage and synovectomy should be performed. Surgery is essential, but the extent of surgical debridement is still debatable. The surgeon has to be aware of the significance of loose bodies when performing routine excision of innocuous looking wrist ganglia.

scholarly journals Tuberculous Tenosynovitis Presenting As Ganglion Of Wrist

2014 ◽  
Vol 10 (2) ◽  
pp. 45-47
Author(s):  
Shahaji Chavan ◽  
SS Sable ◽  
S Tekade ◽  
P Punia
Keyword(s):  
Giant Cell Tumor ◽  
Giant Cell ◽  
Histopathological Examination ◽  
Wrist Joint ◽  
Developed Countries ◽  
Tendon Sheath ◽  
Cell Tumor ◽  
Left Wrist ◽  
Rice Bodies ◽  
Tuberculous Tenosynovitis

Tuberculosis (TB) is still endemic in many developed countries. Involvement of the hand and wrist at presentation is extremely rare, and the diagnosis is often missed. 57 years old male presented with swelling over the left wrist since 3 years. Three swellings over dorsal aspect of the left wrist, soft in consistency, non tender, non compressible mobile at right angles to the plane of the wrist joint. ESR: 45 mm in 1 hr and rest blood investigation were normal. Ultrasonography showed Giant-cell tumor of Extensor Digitorum sheath. Xray: soft tissue swelling MRI suggestive of Extensor Tendon sheath Extraskeletal Synovial Koch’s or Giant cell tumor of tendon sheath. Then planed for excision of swelling and intra-operative fi nding were rice bodies. Histopathological examination showed caseous necrosis with granuloma formation. Patient put on DOT1 therapy. Tuberculous tenosynovitis was first described by Acrel in 1777. Rice bodies occurring in joints affected by tuberculosis were first described in 1895 by Reise Rice bodies will be diagnosed on plain radiographs when mineralization occurs. More than 50% of cases recur within 1 year of treatment. The currently recommended 6-month course is often adequate with Extensive curettage, lavage and synovectomy should be performed. Surgery is essential, but the extent of surgical debridement is still debatable. The surgeon has to be aware of the significance of loose bodies when performing routine excision of innocuous looking wrist ganglia. SAARC Journal of Tuberculosis, Lung Diseases & HIV/AIDS; 2013; X(2); 45-47 DOI: http://dx.doi.org/10.3126/saarctb.v10i2.9713

scholarly journals Giant cell tumor of tendon sheath in the wrist that damaged the extensor indicis proprius tendon: a case report and literature review

BMC Cancer ◽  
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Qingfang Zhao ◽  
Hui Lu
Keyword(s):  
Giant Cell Tumor ◽  
Giant Cell ◽  
Histopathological Examination ◽  
Surgical Excision ◽  
Tendon Sheath ◽  
Cell Tumor ◽  
Case Presentation ◽  
Extensor Indicis Proprius ◽  
History Of

Abstract Background Giant cell tumor of the tendon sheath (GCTTS) is a benign soft tissue (synovial membrane) tumor that rarely involves the hands or wrists. And Tendon impairment caused by GCTTS is extremely rare. Case presentation Here, we reported a case of a 60-year-old female with a 10-year history of gradually increasing mass in her left dorsal wrist. The EIP tendon was partially impaired by the mass.The patient was treated with surgical excision of the mass and reconstruction of the EIP tendon. The histopathological examination suggested the presence of GCTTS. After surgery, the patient had adequate functional recovery and no tumor recurrence after 2 years’ follow-up. Conclusion GCTTS in hands and wrists rarely damages the tendon. Early diagnosis and proactive interventions may likely contribute to good prognostic outcomes.

Bilateral Mirror-Symmetrical Giant Cell Tumor of the Tendon Sheath in the Foot and Ankle: A Case Report

2021 ◽  
Vol 60 (1) ◽  
pp. 163-166
Author(s):  
Naji S. Madi ◽  
Said Saghieh ◽  
Ahmad Salah Naja ◽  
Rachid K. Haidar
Keyword(s):  
Case Report ◽  
Giant Cell Tumor ◽  
Giant Cell ◽  
Tendon Sheath ◽  
Cell Tumor ◽  
Foot And Ankle

scholarly journals A Case Report of Giant Cell Tumor of Tendon Sheath Arising from the Wrist.

1998 ◽  
Vol 47 (2) ◽  
pp. 701-703
Author(s):  
Toru Wakioka ◽  
Naoto Sato ◽  
Nobuhiro Tanaka ◽  
Michihisa Zenmyou
Keyword(s):  
Case Report ◽  
Giant Cell Tumor ◽  
Giant Cell ◽  
Tendon Sheath ◽  
Cell Tumor

Giant cell tumor of a tendon sheath mimicking an axillary lymph node

2010 ◽  
pp. NA-NA
Author(s):  
Yu-Mee Sohn ◽  
Ah-Hyun Kim ◽  
Junjeong Choi ◽  
Eun-Kyung Kim ◽  
Hee Jung Moon ◽  
...  
Keyword(s):  
Lymph Node ◽  
Giant Cell Tumor ◽  
Giant Cell ◽  
Axillary Lymph Node ◽  
Tendon Sheath ◽  
Cell Tumor ◽  
Axillary Lymph

Giant cell tumor of the tendon sheath mimicking a primary intramedullary metatarsal tumor

2012 ◽  
Vol 42 (4) ◽  
pp. 589-593 ◽  
Author(s):  
Joshua E. Lantos ◽  
Meera Hameed ◽  
John H. Healey ◽  
Sinchun Hwang
Keyword(s):  
Giant Cell Tumor ◽  
Giant Cell ◽  
Tendon Sheath ◽  
Cell Tumor

scholarly journals A Systematic Review and Meta-Analysis of En-Bloc vs Intralesional Resection for Giant Cell Tumor of Bone of the Distal Radius

2013 ◽  
Vol 7 (1) ◽  
pp. 103-108 ◽  
Author(s):  
Theresa J.C Pazionis ◽  
Hussain Alradwan ◽  
Benjamin M Deheshi ◽  
Robert Turcotte ◽  
Forough Farrokhyar ◽  
...  
Keyword(s):  
Giant Cell Tumor ◽  
Giant Cell ◽  
Distal Radius ◽  
Wrist Joint ◽  
Meta Analysis ◽  
En Bloc Resection ◽  
Cell Tumor ◽  
En Bloc ◽  
Intralesional Curettage ◽  
Functional Benefit

Introduction: Surgical management of Giant Cell Tumor of Bone of the distal radius (GCTDR) remains controversial due to risk of local recurrence (LR) offset by functional limitations which result from en-bloc resection. This study aims to determine the oncologic and functional outcomes of wide excision (WE) vs intralesional curettage (IC) of GCTDR. Methods: A complete search of the applicable literature was done. Included studies reported on patients from the same cohort who were surgically treated for GCTDR with WE or IC. Two reviewers independently assessed all papers. The primary outcome measure was LR. Results: One-hundred-forty-one patients from six studies were included: 60 treated with WE, and 81 with IC. Five WE patients (8%) suffered LR whereas 25 IC patients (31%) did. The odds of LR were three times less in the WE group vs the IC group. MSTS1993 scores, where available, were on average 'good' with WE and 'excellent' with IC. Conclusions: Within statistical limitations the data support an attempt, where feasible, at wrist joint preservation and superior function with IC. Intralesional curettage is reasonable when the functional benefit outweighs the risk of recurrence as is the case in many cases of GCT of the distal radius.

scholarly journals Giant cell tumor of extensor tendon sheath of ring finger, rare presentation: Case Report

2021 ◽  
Vol 7 (4) ◽  
pp. 385-387
Author(s):  
Dr. Siddaram Patil N ◽  
Dr. K Sagar ◽  
Dr. Lavanya Kumari ◽  
Dr. Prasanth
Keyword(s):  
Case Report ◽  
Giant Cell Tumor ◽  
Giant Cell ◽  
Ring Finger ◽  
Extensor Tendon ◽  
Tendon Sheath ◽  
Cell Tumor ◽  
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