Extensive giant cell tumor on the foot completely wrapping the extensor hallucis longus

In this study, we report the case of a patient with a lobulated expansile lesion of 16.6 cm in its largest diameter, who was referred as having a simple “synovial cyst” in the foot that actually was a giant cell tumor of the tendon sheath along the extensor hallucis longus. Conducting a differential diagnosis of a “synovial cyst” in the foot and ankle, performing adequate surgical planning and using imaging tests, such as nuclear magnetic resonance, increases the probability of treatment success. Level of Evidence V; Therapeutic Studies; Expert Opinion.

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

The Journal of Foot & Ankle Surgery ◽

10.1053/j.jfas.2019.09.045 ◽

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

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Tumors of the Foot and Ankle: Experience with 153 Cases

Foot & Ankle International ◽

10.3113/fai.2009.0836 ◽

2009 ◽

Vol 30 (9) ◽

pp. 836-841 ◽

Cited By ~ 48

Author(s):

Loretta B. Chou ◽

Yvette Y. Ho ◽

Martin M. Malawer

Keyword(s):

Soft Tissue ◽

Giant Cell Tumor ◽

Giant Cell ◽

Case Series ◽

Soft Tissue Tumors ◽

Cell Tumor ◽

Foot And Ankle ◽

Level Of Evidence ◽

Referral Center ◽

Common Diagnosis

Background: Both primary and metastatic tumors in the foot and ankle have been reported as rare. The purpose of this study was to describe 153 cases of foot and ankle tumors from a 20-year experience in a tertiary referral center specializing in orthopaedic oncology. It is the largest reported series of both bone and soft tissue tumors in the foot and ankle. Materials and Methods: Between 1986 and 2006, a retrospective chart review was performed of a total of 2,660 tumors surgically treated in all anatomic sites by a single surgeon at a musculoskeletal tumor referral center. Results: One hundred fifty-three patients (5.75%) with bone and/or soft tissue tumors of the foot and ankle were treated. There were 84 women and 69 men. The patients' ages ranged from 1 to 84, with a median age of 30 and mean of 33.2. The tissue types included 80 soft tissue and 73 bone tumors. Overall, 60 (39.2%) were malignant, and 93 (60.8%) were benign. The most common diagnosis was giant cell tumor. In addition, giant cell tumor was the most common bone tumor, while pigmented villonodular synovitis and giant cell tumor of the tendon sheath were the most common soft tissue tumors. Conclusion: The incidence of tumors of the foot and ankle in this series of a single surgeon over a 20-year practice was 5.75%. The results of this study reaffirm that awareness, correctly diagnosing, and appropriately treating or referring to an orthopaedic oncologist may help with an improved outcome for patients. Level of Evidence: IV, Retrospective Case Series

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Giant Cell Tumor of the Tendon Sheath Around the Foot and Ankle

Journal of the American Podiatric Medical Association ◽

10.7547/0003-0538-105.3.249 ◽

2015 ◽

Vol 105 (3) ◽

pp. 249-254 ◽

Cited By ~ 9

Author(s):

Gauresh Vargaonkar ◽

Vikramadittya Singh ◽

Sumit Arora ◽

Abhishek Kashyap ◽

Vikas Gupta ◽

...

Keyword(s):

Giant Cell Tumor ◽

Giant Cell ◽

Surgical Excision ◽

Tendon Sheath ◽

Cell Tumor ◽

Flexor Hallucis Longus ◽

Rare Clinical Entity ◽

Foot And Ankle ◽

Peroneus Brevis

The foot and ankle are rare sites of involvement for giant cell tumor of tendon sheath. We present three rare cases of giant cell tumor of tendon sheath arising from the tendon sheaths of the flexor hallucis longus, peroneus brevis, and extensor hallucis brevis tendons, along with a literature review of such cases in the foot and ankle region. All of the patients were treated with surgical excision of the mass and were asymptomatic after minimum follow-up of 18 months. Giant cell tumor of tendon sheath involving the foot and ankle region is a rare clinical entity, and good results can be expected after surgical excision.

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Rare Giant Cell Tumor of the Distal Flexor Digitorum Longus Tendon Sheath and Early Diagnosis with Use of Magnetic Resonance Imaging

Journal of the American Podiatric Medical Association ◽

10.7547/16-163 ◽

2017 ◽

Vol 107 (4) ◽

pp. 333-336 ◽

Cited By ~ 1

Author(s):

Michael Levi ◽

Jordan Crafton

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Giant Cell Tumor ◽

Giant Cell ◽

Early Recognition ◽

Tendon Sheath ◽

Cell Tumor ◽

The Body ◽

Foot And Ankle ◽

Resonance Imaging

Giant-cell tumor of the tendon sheath (GCT-TS) is an uncommon occurrence for a foot and ankle surgeon. However, there is a need to recognize the symptoms of typical and atypical presentations of this pathology. These benign neoplasms are recognized clinically as a soft-tissue mass that is usually painless and palpable. The foot and ankle account for only 3% to 5% of all GCT-TS in the body, with most being located in the hand. Giant cell tumor in the tendon sheath occurring in the foot and ankle is usually encountered on the lateral ankle and dorsum of the foot, occupying the extensor tendons. Additionally, it is commonly misdiagnosed clinically. This case study illustrates how early use of magnetic resonance imaging decreased patient morbidity with early recognition and excision of GCT-TS.

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Giant Cell Tumor of Tendon Sheath of Great Toe

Medical Journal of Shree Birendra Hospital ◽

10.3126/mjsbh.v15i2.17205 ◽

2017 ◽

Vol 15 (2) ◽

pp. 62-64

Author(s):

Surya Bahadur Thapa ◽

Bibek Banskota ◽

Ashok Kumar Banskota

Keyword(s):

Soft Tissue ◽

Giant Cell Tumor ◽

Giant Cell ◽

Soft Tissue Tumor ◽

Tendon Sheath ◽

Cell Tumor ◽

Great Toe ◽

Extensor Hallucis Longus ◽

Benign Soft Tissue Tumor ◽

The Right

Introduction: Giant cell tumor of the tendon sheath is an uncommon benign soft tissue tumor of the tendon sheath and synovium usually affecting the middle aged population. Only 3-10 % of Giant cell tumor of the tendon sheath occur on foot. Of them 5 - 10 % present with erosion of bone. We present a case of 30 years old male who had Giant cell tumor of the tendon sheath on the foot involving the Flexor Hallucis Longs and Extensor Hallucis Longus and eroding both the phalanges of the right great toe.

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Atypical Tenosynovial Giant Cell Tumor of the Extensor Hallucis Longus Tendon

Journal of the American Podiatric Medical Association ◽

10.7547/0960359 ◽

2006 ◽

Vol 96 (4) ◽

pp. 359-361 ◽

Cited By ~ 3

Author(s):

Keiichi Muramatsu ◽

Takatomo Mine ◽

Kazuhiko Ichihara

Keyword(s):

Giant Cell Tumor ◽

Giant Cell ◽

Tendon Sheath ◽

Cell Tumor ◽

Resonance Imaging ◽

Characteristic Appearance ◽

Longus Tendon ◽

Tenosynovial Giant Cell Tumor ◽

Extensor Hallucis Longus ◽

Multiple Nodules

We present a case of atypical giant cell tumor of the tendon sheath originating from the extensor hallucis longus tendon. The tumor contained multiple nodules and overlay the tendon 16 cm. Magnetic resonance imaging was the most useful preoperative investigation and showed the characteristic appearance of giant cell tumor of the tendon sheath, thus allowing local excision to be planned and executed. We discuss how local recurrence of this tumor could be prevented. (J Am Podiatr Med Assoc 96(4): 359–361, 2006)

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