Fibroma of tendon sheath of the hand in a 3-year-old boy: a case report

Shibayama, Hiroki; Matsui, Yuichiro; Kawamura, Daisuke; Urita, Atsushi; Ishii, Chikako; Kamishima, Tamotsu; Nishida, Mutsumi; Shimizu, Ai; Iwasaki, Norimasa

doi:10.1186/s12891-020-03728-x

Cited by 9 publications

(12 citation statements)

References 23 publications

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“…Fibroma of the tendon sheath, also called synovial tendon sheath fibroma [ 8 ], consists of a benign proliferation of fibroblasts that are firmly attached to the tendon or tendon sheath and are sometimes attached to the articular capsule [ 9 ]. In the study that Chung and Enzinger published about 138 cases of FTS, and the peak age was in the third to fifth decades of life with a male preponderance.…”

Section: Discussionmentioning

confidence: 99%

Ultrasonography of fibroma of the tendon sheath in the hand and wrist

Zhao

Ding

Chen

2023

BMC Musculoskelet Disord

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Background The purpose of our study was to explore the sonographic characteristics of fibromas of the tendon sheath of the hand and wrist and to evaluate the value of high frequency ultrasound in the diagnosis of FTS. Methods We retrospectively reviewed the sonography of 42 patients with surgically proven FTS, including one with a relapsing tumor (43 lesions in total). The location, size, distribution, relationship with the surrounding tissue, two-dimensional gray-scale sonographic appearance and internal color blood flow of all lesions were analysed. Results The maximum diameter ranged from 0.4 to 2.8 cm, with an average of 1.5 ± 0.6 cm. Twenty-eight lesions (65%) were associated with an adjacent tendon, while the other 15 lesions (35%) were next to the joint. Spindle or oval lesions were common, followed by irregular shape. The nodules with clear boundaries were hypoechoic and had posterior echo enhancement. Thirty-seven lesions (86%) were homogeneous, while 6 lesions (14%) had cystic components with no echo inside. Seventeen lesions (40%) had a large amount of blood flow. Nine lesions (20%) had a small amount of blood flow. The other 17 lesions (40%) had no significant blood flow. Conclusions The diagnosis of fibroma of the tendon sheath can be considered when ultrasound examination reveals a focal nodular mass adjacent to a tendon sheath with homogeneous hypoechogenicity and no or small or large amounts of blood flow.

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Section: Discussionmentioning

confidence: 99%

Ultrasonography of fibroma of the tendon sheath in the hand and wrist

Zhao

Ding

Chen

2023

BMC Musculoskelet Disord

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“…It manifests clinically as a slow-growing tumor, potentially painful. 1 The treatment of choice is marginal resection of the lesion, which has a high recurrence rate. 2 We present the case of a TSF in the finger of a 6-year-old girl.…”

Section: Introductionmentioning

confidence: 99%

Fibroma de la vaina tendinosa en el dedo de la mano de una niña de 6 años: A propósito de un caso

García-Jiménez,

Ochoa García,

Pomerol Sanfeliu

2023

Revista Iberoamericana de Cirugía de la Mano

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ResumenSe presenta un caso de fibroma de la vaina tendinosa, tumor benigno poco frecuente de adultos de 20–40 años y de extraordinaria rareza en la edad infantil, localizado en la cara palmar de la falange media del tercer dedo de la mano derecha de una niña de 6 años. El diagnóstico se efectuó tras su exéresis mediante el estudio histológico de la lesión, pues los estudios de imagen previos mediante ecografía y resonancia magnética no fueron concluyentes. A pesar de que la resección quirúrgica constituye el tratamiento de elección, existe un alto riesgo de recidiva de la enfermedad.

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“…Fibroma of tendon sheath is a benign uncommon soft tissue tumor that presents as a solitary, firm, slow-growing painless nodule [1] . This tumor arises from the synovium of the tendon sheath that occurs mostly around small joints such as the fingers, hands, and wrist [2] .…”

Section: Introductionmentioning

confidence: 99%

“…The case reports which we reviewed examined the pediatric patients they ranged in age from 8-17. In a case series of 138 patients, it was shown that only 20% of fibroma of tendon sheath cases were diagnosed in children and upper extremity involvement occurred in 86% of cases [1,2] . When juvenile cases of FTS are identified, older children and adolescents are more commonly affected [2] .…”

Section: Introductionmentioning

confidence: 99%

“…These methods may involve ligating digital arteries or excising palmar cutaneous nerves so they are generally avoided in pediatric cases. Postoperative courses tend to be uneventful with no major complications and those who participate in sports are typically able to return to play within the first few months [1,3,5] . Potential ways to reduce risk or local recurrence include performing a careful and complete resection with an air tourniquet and following up with these patients for a minimum of 2 years.…”

Section: Introductionmentioning

confidence: 99%

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Rare case of fibroma of the tendon sheath in a pediatric patient

Willacy¹,

Warren²,

Smith³

et al. 2022

Int. J. Case Rep. Orthop.

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Fibroma of tendon sheath (FTS) is a benign uncommon soft tissue tumor that presents as a solitary, firm, slow-growing painless nodule. This tumor arises from the synovium of the tendon sheath that occurs mostly around small joints such as the fingers, hands, and wrist. This soft tissue tumor rarely arises around large joints such as the knees, shoulders, elbows, and ankles with intra-articular or extraarticular involvement. It most commonly presents as a painless, slow-growing tumor with small nodular swelling and is often seen in adults 20-50. Our report reviews a unique case of fibroma of the tendon sheath in a pediatric patient. A 12-year old right-hand dominant female presented to the clinic with a mass located on the volar region of the proximal phalanx of the right long finger. This mass was present for 6 months and progressively increased in size. It caused intermittent pain, with prolonged activity. An ultrasound displayed a 1.3 cm mass around the proximal portion of the right long finger, which was consistent with a giant cell tumor versus a neuroma. Surgical dissection was performed and the mass was about 1 cm in diameter and emanated deep to the flexor tendons in the flexor sheath. When the patient followed up in the clinic postoperatively, there was no tenderness of the hand and mild tenderness over the volar portion of the right long finger. There was no palpable mass or angular deformity noted and the patient was neurovascularly intact. Clinical presentation, surgical management, recurrence, differential diagnosis, progression, and growth of the mass make this case unique. Typically, this is seen in the young and middle-aged demographic and reported in a 3:1 male to female ratio. The differential diagnosis for FTS includes giant cell tumor, mucinous cyst, lipoma, epidermal cyst and leiomyoma. Future studies should investigate other forms of management for Fibroma of the tendon sheath.

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Fibroma of tendon sheath of the hand in a 3-year-old boy: a case report

Cited by 9 publications

References 23 publications

Ultrasonography of fibroma of the tendon sheath in the hand and wrist

Ultrasonography of fibroma of the tendon sheath in the hand and wrist

Fibroma de la vaina tendinosa en el dedo de la mano de una niña de 6 años: A propósito de un caso

Rare case of fibroma of the tendon sheath in a pediatric patient

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