How do you get rid of a giant cell tumor of the tendon sheath?

How do you get rid of a giant cell tumor of the tendon sheath?

Often, partial excision of the joint capsule or tendon sheath is necessary for complete removal of the tumor. Meticulous dissection and exploration are essential because satellite lesions are common.

What is a tendon sheath tumor?

Giant cell tumor of tendon sheath is defined as a benign reactive lesion which is similar to PVNS. Giant cell tumor of tendon sheath is also named tenosynovial giant cell tumor. GCT of tendon sheath is a circumscribed tumor that does not always arise from the tendon sheath but may arise from the synovium.

Is giant cell tumor of tendon sheath malignant?

Conclusions: Malignant giant cell tumor of tendon sheath is an extremely rare malignant tumor, some cases have a poor outcome, the others, despite the histologically malignant features, have a good prognosis if wide surgical excision ablates the tumor completely.

What is fibroma of tendon sheath?

Fibroma of the tendon sheath (FTS) is a rare, benign, soft tissue lesion. Clinically, FTS presents similarly to the more common giant cell tumor of the tendon sheath. It is distinguished histologically by the lack of giant cells, foamy histiocytes and synovial cells.

What causes giant cell Tumour?

What causes giant cell tumors? While the exact cause of giant cell tumors remains unknown. In some cases, they have been linked to Paget disease of bone. This is a chronic bone disorder in which bones become enlarged and misshapen.

What is a tendon sheath lesion?

Excision of Lesion of Tendon Sheath or Joint Capsule is the removal of the most common tumor in the hand and wrist. These are benign sacs of gelatinous fluid that form off of a joint or tendon sheath. They are seen frequently in the wrist but can also occur around finger joints.

What is giant cell tumor of tendon sheath?

Giant cell tumor of the tendon sheath (GCTTS) is the second most common tumor of the hand after ganglion cysts (1,2). It is a slowly growing, usually painless benign lesion of soft tissues. The tumor affects individuals between the age of 30 and 50 years old and is found more often in women than men (3–6).

What causes fibroma of tendon sheath?

Fibroma of tendon sheath usually arises on the fingers and hands with strong attachment to the tendon or tendon sheath. The tumor in the present case probably limited the range of flexion of the fingers by obstruction of the transverse carpal ligament.

When to use MRI for tendon sheath cancer?

MRI is currently the optimal modality for preoperative assessment of tumor size, extent and invasion of adjacent joint and tenosynovial space. Keywords: diffuse type; giant cell tumor of the tendon sheath; localized type; magnetic resonance imaging.

How are giant cell tumors of the tendon sheath diagnosed?

The present study aimed to investigate the value of magnetic resonance imaging (MRI) in the diagnosis of giant cell tumor of the tendon sheath (GCTTS), including localized (L-) and diffuse (D-) types. A total of 38 patients with GCTTS, including 31 with L-GCTTS and 7 with D-GCTTS, diagnosed by surgery and pathology, were retrospectively analyzed.

Where does a soft tissue tumor occur in the hand?

It is a benign soft tissue mass adjacent to the tendon sheath that occurs due to reactive fibrosis in adults between second and fifth decades. Histologically, the mass is composed of tightly packed spindle cells surrounded by collagen fibers. Approximately 82% of FTS occur in the hand and wrist region.

How is tumor of tendon sheath in hand treated?

Utmost care was given to remove the tumor in one piece with the capsule intact whenever possible and to protect digital nerves, arteries and tendons. En bloc excision were also performed for the tumors which invaded medullary space. Before the closure of the incision closure, the operation field was inspected for any satellite lesions.