scholarly journals Giant cell tumour of the flexor tendon sheath of the hand

Author(s):  
M. R. Mallik ◽  
S. S. Nayak ◽  
R. C. Maharaj ◽  
N. R. Mishra ◽  
D. K. Chand ◽  
...  

<p class="abstract"><strong>Background:</strong> Giant cell tumor of tendon sheath is a benign soft tissue lesion most commonly found in the flexor aspect of hand and wrist. Recurrence of the tumor is common even after excision.</p><p class="abstract"><strong>Methods:</strong> It is an observational study where we present a review of 10 cases for which excision was done and were kept for regular follow up for minimum 6 months.<strong></strong></p><p class="abstract"><strong>Results:</strong> No recurrences noted in our series with minimum six months to maximum two years follow-up though review literature shows 10-40% recurrence rates.</p><p class="abstract"><strong>Conclusions:</strong> Complete excision with regular follow up care is indicated for this neoplasm due to its high propensity towards recurrence. The most important factor deciding recurrence pattern is incomplete excision and leaving behind satellite nodules.</p><p class="abstract"> </p>

2020 ◽  
pp. 1-2
Author(s):  
Surya Rao Rao Venkata Mahipathy ◽  
Alagar Raja Durairaj ◽  
Narayanamurthy Sundaramurthy ◽  
Anand Prasath Jayachandiran ◽  
Volga Harikrishnan

Giant cell tumor of the tendon sheath is a common benign lesion of the hand. They are also known as tenosynovial giant cell tumours. Magnetic resonance imaging is the imaging modality of choice and the current treatment is surgical excision of the lesion. This lesion is particularly known for its high recurrence rates. Here, we present a case of a recurrent tenosynovial giant cell tumour of the flexor tendon sheath of the index finger at the distal palmar crease. Diagnosis was confirmed by MRI and the lesion was excised. Histopathology revealed a localized type of tenosynovial giant cell tumour.


1985 ◽  
Vol 10 (1) ◽  
pp. 121-123 ◽  
Author(s):  
N. SUEMATSU ◽  
T. HIRAYAMA ◽  
Y. TAKEMITSU

Trigger wrist is a rare condition unlike the trigger finger of the metacarpophalangeal joint. This report describes a case of trigger wrist secondary to a giant cell tumour of the flexor tendon sheath. No previous reports are available in the medical literature.


2008 ◽  
Vol 61 (7) ◽  
pp. 815-818 ◽  
Author(s):  
Henry C. Vasconez ◽  
Mustafa Nisanci ◽  
Eun Young Lee

2021 ◽  
pp. 10-11
Author(s):  
K Srinivasa Reddy ◽  
K Anusha ◽  
K B Vijaya Mohan Reddy

Giant cell tumour arises from the synovium of tendon sheath, joints, or bursae,mostly affects adults between 30 and 50 years of age, and is slightly more common in females.Giant cell tumour of tendon sheath of tendoachilles is uncommon tumour. Usually it has a high rate of recurrence. In this article we report the case of a 32 year old female with Giant cell tumour of tendoachilles treated by excision with no reccurence after 7 months of follow up


Hand Surgery ◽  
2012 ◽  
Vol 17 (01) ◽  
pp. 125-127
Author(s):  
J. Terrence Jose Jerome ◽  
Kumar Venkatesan ◽  
Amarnath G ◽  
Usha Rani ◽  
Rohini Sridhar

We report a 75-year-old man who presented with a painless friable mass in the index finger pulp mimicking pyogenic granuloma. Complete excision of the mass was done. The radiological and the histopathological findings suggested giant cell tumor of the tendon sheath. The patient had no recurrence at the end of a two-year follow-up. This unusual clinical presentation of the giant cell tumor of the tendon sheath was our study base and adds up to its variant presentation in the literature.


Hand ◽  
2007 ◽  
Vol 2 (3) ◽  
pp. 94-100 ◽  
Author(s):  
Peter J. L. Jebson ◽  
Edwin E. Spencer

The purpose of our study was to review the clinical features and determine the results following surgical excision of a flexor tendon sheath ganglion. A retrospective analysis of 24 consecutive patients (25 ganglions) who underwent excision of a painful flexor tendon sheath ganglion by the same surgeon was performed. The patient's medical and operative records were reviewed. Each patient was invited to return for an evaluation, which consisted of a clinical interview, completion of a questionnaire, and physical examination. Those patients that were unable to return underwent a detailed telephone interview. Sixteen patients returned for a clinical evaluation, while eight patients underwent a telephone interview. There were 15 women and nine men, with an average age of 43 years (range, 21–68 years). The dominant hand was involved in 15 patients. The long finger was most commonly involved (11 cases). The ganglion arose from the A1 pulley in 13 cases, between the A1 and A2 pulleys in three cases, and from the A2 pulley in nine cases. At an average follow-up of 18.5 months (range, 5–38 months), all of the patients were satisfied with their final result. No patient developed a recurrence and all returned to their previous functional level. There were two minor complications that resolved uneventfully; one patient experienced mild incisional tenderness, while an additional patient experienced transient digital nerve paresthesias. We conclude that surgical excision is a simple, safe, and effective method for treating a painful ganglion of the digital flexor tendon sheath.


2001 ◽  
Vol 26 (1) ◽  
pp. 72-75 ◽  
Author(s):  
M. M. AL-QATTAN

Forty-three consecutive cases of giant cell tumour of tendon sheath were included in a prospective study. The tumours were classified into two main types, depending on whether the entire tumour was, or was not, surrounded by one pseudocapsule as assessed by the surgeon during surgery. Each type was then sub-classified according to the thickness of the capsule, lobulation of the tumour, the presence of satellite lesions, and the diffuse or multicenteric nature of the tumour: these factors were also assessed by the surgeon. The mean follow-up period was 4 (range, 2–6) years. None of the type I tumours ( n=30) recurred, but recurrence occurred in five out of 13 type II tumours. Second recurrences were seen with type II B and C, but not type II A tumours.


2019 ◽  
Vol 3 (1) ◽  
pp. 1-4
Author(s):  
Talal Grimi

Giant cell tumors of the tendon sheath of the ha nd present a very rare entity, o nly two percent of all reported Giant cell tumors are found in the hand, several hypotheses were formulated about the etiological factors of these tumors, but still there is not a common opinion on etiology, prognostic factors and recurrence rate . We repor t a rare case of giant cell tumour of the tendon sheath the second finger in 55 - year - old women, which was treated with extended curettage. After one year of follow - up, the patient was asymptomatic with complete functional recovery and no signs of recurrenc e.


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