Giant cell tumor of tendon sheath in the hand: analysis of risk factors for recurrence in 50 cases

Özben, Hakan; Coşkun, Tamer

doi:10.1186/s12891-019-2866-8

Cited by 44 publications

(87 citation statements)

References 23 publications

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“…This rate is similar to the literature. [12,13] We had recurrence in a 13-year-old female patient. The GCTTS was multilobulated and multifocal in that patient and we think that the reason for recurrence was the inadequate resection.…”

Section: Discussionmentioning

confidence: 95%

Tumorous conditions of the pediatric hand and wrist: Ten-year experience of a single center

et al. 2020

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Hand tumors are uncommon and the malignant ones are less commonly seen pathologies. [1] Pediatric hand tumors are particularly rare and one of the less investigated topics of musculoskeletal tumors. Objectives: This study aims to evaluate the distribution and prevalence of pediatric hand tumors and tumor-like lesions according to age and gender. Patients and methods: We retrospectively examined the details of hospital records of 646 patients who were operated for hand mass between January 2009 and January 2019 and whose pathological diagnosis was established in the same hospital. A total of 54 patients (18 males, 36 females; mean age 12.07 years; range, 3 month to 17 years) under 18 years of age who had been operated for the wrist or hand mass were included in the study. Results: Out of 54 tumors, 53 were benign (98%) and one was malignant (2%). There were 42 soft tissue tumors (78%) and 12 bone tumors (22%). The most common soft tissue mass was ganglion cyst (n=12). Six out of 12 ganglion cysts were on the dorsal side of hand or wrist and six were on the volar side. The distribution of the tumors according to gender was not statistically significant (p=0.73). We had two recurrences: one patient with giant cell tumor of the tendon sheath and one with palmar fibromatosis. Conclusion: Pediatric hand/wrist masses are mostly benign tumorous conditions. The location of the pathologies may be different from the adults. Diagnosis of the tumor should be established carefully clinically and radiologically while malignant tumors should be kept in mind by both pediatricians and orthopedic surgeons.

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Section: Discussionmentioning

confidence: 95%

Tumorous conditions of the pediatric hand and wrist: Ten-year experience of a single center

et al. 2020

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“…Williams et al reported the overall recurrence rates ranged from 7 to 44% [ 10 ]. Hakan recorded the recurrences were 6% [ 11 ]. At present, radical surgical management is particularly important to reduce recurrence.…”

Section: Discussionmentioning

confidence: 99%

Giant cell tumor of tendon sheath at the hand: A case report and literature review

Liu

2020

Annals of Medicine and Surgery

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Introduction GCTTS is the second most popular soft tissue tumor at the hand next to ganglion cyst, and also named tenosynovial giant cell tumor or pigmented villonodular tenosynovitis. It is divided into localized form and diffuse form. We introduce a report of a rare case of GCTTS in a female where lesions were identiied within the left ring finger and also conducted a literature review. Presentation of case We describe a 32-year-old female patient with GCTTS a single digit since six months. Radiographic and histopathological examination is necessary to help determine whether to take further treatment. Surgical excision was performed, including complete removal of the tumor and reconstruction of the pulley with autologous tendon. Histopathology suggested that these masses were consistent with GCTTS without malignancy. There was no clinical and radiologic evidence of recurrence six months after surgery. Discussion GCTTS is a benign fibrous tissue tumor originating from the tenosynosheath, bursae and joint synovium. This tumor is more common in adults aged 30–50, and is slanted toward females. The major risk of GCTTS is recurrence and joint damage, which requires surgical resection. The integrity of the pulley plays an important role in the function of the hand. In this case, the ipsilateral metacarpal tendon was taken during the operation to reconstruct the pulley to reduce the possibility of loss of hand function. Conclusion This case represents a rare case of GCTTS at the hand within a single digit. Due to its high recurrence rate, the tumor should be completely removed to reduce the possibility of recurrence. Radiographic and histopathological examination must be performed on the tumor, which is determined to be benign and does not require further treatment. The function of the hand should be reconstructed to minimize the loss if necessary.

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“…Some authorities declare it to be an inflammatory disease whereas others consider it to be a neoplastic entity. [1][2][3] At the time of radical surgical excision, the surgeon is often faced with unique challenges. Being originating from the synovial sheaths, one has to be careful to dissect the entire tumor and at the same time, preserve the underlying tendons.…”

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confidence: 99%

“…Rarely, these have to be sacrificed to ensure complete excision. [1][2][3][4][5] The low recurrence rate in this study is attributable to the routine employment of preoperative workup with MRI and FNAC, use of intraoperative loupe magnification, and meticulous surgical technique that ensured radical resection without missing any satellite lesions.…”

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confidence: 99%

Giant Cell Tumor of Tendon Sheath in the Hand and Wrist

Saaiq¹

2023

Journal of Hand and Microsurgery

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Giant cell tumor of the tendon sheath (GCTTS) is the second most common soft tissue tumor of the hand following ganglion, accounting for 15 to 27.5% of the benign hand tumors. It is typically slow growing and originates from the synovial cells of the tendon sheaths. It could be nodular or diffuse. The earlier form is frequently found in the hand, whereas the latter variety is often found around the large joints. It is classified as types 1 and 2. The type 1 denotes single tumor which may be round or multilobulated. The type 2 is characterized by two or more distinct tumors which are not joined together. 1-3 This prospective study aimed to evaluate the demographic and clinical presentation of GCTTS and the rate of early recurrence at 1 year following radical surgical excision. This study spanned over a period of 10 years and included all histologically confirmed cases of GCTTS. The patients were evaluated with history, examination, magnetic resonance imaging (MRI), and fine needle aspiration cytology (FNAC). The adult patients underwent excision under local anesthesia, whereas in case of children, general anesthesia was employed. All cases were operated under tourniquet control and with use of magnifying loupes. Radical surgical excision along with any satellite lesions was ensured. The excision margin included 1 mm of normal surrounding tissue. ►Table 1 summarizes the entry variables and outcomes observed (►Figs. 1 and 2).

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Giant cell tumor of tendon sheath in the hand: analysis of risk factors for recurrence in 50 cases

Cited by 44 publications

References 23 publications

Tumorous conditions of the pediatric hand and wrist: Ten-year experience of a single center

Tumorous conditions of the pediatric hand and wrist: Ten-year experience of a single center

Giant cell tumor of tendon sheath at the hand: A case report and literature review

Giant Cell Tumor of Tendon Sheath in the Hand and Wrist

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