GIANT CELL TUMOUR OF THE TENDON SHEATH: A CASE REPORT

• Published in: Journal of evolution of medical and dental sciences Vol. 3; no. 13; pp. 3278 - 3282
• Main Authors: A S, Ravikumar, Chaudhary, Amit
• Format: Journal Article
• Language: English
• Published: Akshantala Enterprises Private Limited 31.03.2014
• Subjects: Care and treatment; Diseases; Excision (Surgery); Giant cell tumors; Relapse; Risk factors; Tendons
• ISSN: 2278-4748; 2278-4802
• DOI: 10.14260/jemds/2014/2280

INTRODUCTION: The giant cell tumor of tendon sheath is among the more common soft tissue tumors of the hand. It is a slowly progressive, usually painless, rubbery mass predominating on the radial three digits of the hand and is typically identified adherent to the digital flexor tendon sheath of the hand. The histology is variable but the tumors consistently contain multinucleated giant cells and xanthoma cells. CASE PRESENTATION: A case report of a 57 years old female patient who came with a diffuse, painless swelling on the radial aspect of middle finger of the right hand at the Orthopedic OPD of our institution. MANAGEMENT & OUTCOME: A planned operative procedure was done. After clinical examination and other investigations, a careful excision of the mass was done by detaching it from the underlying tendon sheath. The tissue was sent for biopsy to two different labs for examination. The reports were confirmed as Giant Cell tumor of the tendon Sheath. DISCUSSION: A giant cell tumors of the tendon sheath (GCTTS) is an uncommon and usually benign lesion that arises from the tendon sheath though they are the second most common tumors of the hand. Recurrence rates are as high. A recent study found that following surgical excision, the only lesions that recurred were those that originally had multiple discrete tumors. Tumors composed of single masses did not recur following surgical excision. MRI may be helpful in determining the anatomic extent of the lesion. KEYWORDS: Giant cell tumor, Tendon Sheath, Recurrence, Benign neoplasm, Excision.