Giant cell tumour of the flexor tendon sheath of the hand

Authors

  • M. R. Mallik Department of Orthopaedic, S.C.B. Medical College and Hospital, Cuttack, Odisha, India
  • S. S. Nayak Department of Orthopaedic, S.C.B. Medical College and Hospital, Cuttack, Odisha, India
  • R. C. Maharaj Department of Orthopaedic, S.C.B. Medical College and Hospital, Cuttack, Odisha, India
  • N. R. Mishra Department of Orthopaedic, S.C.B. Medical College and Hospital, Cuttack, Odisha, India
  • D. K. Chand Department of Orthopaedic, S.C.B. Medical College and Hospital, Cuttack, Odisha, India
  • A. Chaterjee Department of Orthopaedic, I.M.S. and S.U.M. Hospital, Bhubaneswar, Odisha, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20195801

Keywords:

Giant cell tumor of tendon sheath of hand, FNAC, Excision, Recurrence

Abstract

Background: 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.

Methods: 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.

Results: No recurrences noted in our series with minimum six months to maximum two years follow-up though review literature shows 10-40% recurrence rates.

Conclusions: 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.

 

References

Adams EL, Yoder EM, Kasdan ML. Giant cell tumor of the tendon sheath: Experience with 65 cases. Eplasty. 2012;12:e50.

Walsh EF, Mechrefe A, Akelman E, Schiller AL. Giant cell tumor of tendon sheath. Am J Orthop. 2005;34:116-21.

Schultz RJ, Kearns RJ. Tumors in the hand. J Hand Surg. 1983;8:803-6.

Briët JP, Becker SJ, Oosterhoff TC, Ring D. Giant cell tumor of tendon sheath. Arch Bone Jt Surg. 2015;3:19-21.

Braga Silva J, Calcagnotto GN, Scolari J, Fridman M. Tumor de célulasgigantes da bainhatendinosa no nível dos dedos: exéreseatravés daincisãocircunferencial. Rev Bras Ortop. 2002;37(4):129-32.

Gibbons CL, Khwaja HA, Cole AS, Cooke PH, Athanasou NA. Giant-cell tumour of the tendon sheath in the foot and ankle. J Bone Joint Surg Br. 2002;84(7):1000-3.

Middleton WD, Patel V, Teefey SA, Boyer MI. Giant cell tumors of the tendon sheath: an analysis of sonographic findings. Am J Roentgenol. 2004;183(2):337-9.

De Beuckeleer L, De Schepper A, De Belder F, Van Goethem J, Marques MC, Broeckx J, et al. Magnetic resonance imaging of localized giant celltumour of the tendon sheath (MRI of localized GCTTS). Eur Radiol. 1997;7(2):198-201.

Jelinek JS, Kransdorf MJ, Shmookler BM, Aboulafia AA, Malawer MM. Giant cell tumor of the tendon sheath: MR findings in nine cases. Am J Roentgenol. 1994;162(4):919–22.

Darwish FM, Haddad WH. Giant cell tumour of tendon sheath: Experience with 52 cases. Singapore Med J. 2008;49:879-82.

Batra VV, Jain S, Singh DK, Kumar N. Cytomorphologic spectrum of giant cell tumor of tendon sheath. Acta Cytol. 2008;52:152-8.

Ikeda K, Osamura N, Tomita K. Giant cell tumour in the tendon sheath of the hand: importance of the type of lesion. Scand J Plast Reconstr Surg Hand Surg. 2007;41:138-42.

Cherla D, Hahn E, Datiashvilli R. Meticulous surgical excision of a localized giant cell tumor of the tendon sheath. Eplasty. 2013;13:ic36.

Williams J, Hodari A, Janevski P, Siddiqui A. Recurrence of giant celltumors in the hand: a prospective study. J Hand Surg Am. 2010;35:451-6.

Kotwal PP, Gupta V, Malhotra R. Giant cell tumour of the tendon sheath-is radiotherapy indicated to prevent recurrence after surgery? J Bone Joint Surg. 2000;82B:571-3.

Lancigu R, Rabarin F, Jeudy J, Saint Cast Y, Cesari B, Fouque PA, et al. Giant cell tumors of the tendon sheaths in the hand: review of 96 patients with an average follow-up of 12 years Orthop Traumatol Surg Res. 2013;99S:S251-4.

Hamdi MF, Touati B, Zakhama A. Giant cell tumour of the flexor tendon sheath of the hand: analysis of 27 cases Musculoskelet Surg. 2012;96:29-33.

Suresh SS, Hosam Z. Giant Cell Tumor of Tendon Sheath: Case Series and Review of Literature. J Hand Microsurg. 2010;2(2):67-71.

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Published

2019-12-24

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Original Research Articles