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J Hand Microsurg 2015; 07(01): 233-235
DOI: 10.1007/s12593-015-0185-3
Case report
Thieme Medical and Scientific Publishers Private Ltd.

Multiple Giant Cell Tumors of the Tendon Sheath : Separate Volar and Dorsal Lesions Involving Three Digits of the Same Hand Following Repetitive Trauma

N. Kerfant
1   Service de Chirurgie Plastique, Reconstructrice et Esthétique, CHRU de Brest. Hôpital La Cavale Blanche, 29609, Brest, Cedex, France   eMail: nathalie.kerfant@chu-brest.fr
,
T. Bardin
2   Fédération de Rhumatologie, Hôpital Lariboisière, 2 Rue Ambrois-Paré, Paris, France
,
E. Roulot
3   Institut de la Main. Clinique Jouvenet, 6 Square Jouvenet, 75016, Paris, France
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Publikationsverlauf

11. Februar 2015

13. Mai 2015

Publikationsdatum:
13. September 2016 (online)

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Abstract

Giant-cell tumors of the tendon sheath correspond to a localized form of pigmented villonodular synovitis. GCTTS typically occur in the hand where they represent the second most common type of soft tissue tumors after synovial ganglions. The etiology of giant cell tumors of the tendon sheath is unknown. Pathogenetic theories have included inflammatory process, trauma, immune mechanisms, neoplasia. Giant cell tumors usually present as a solitary and firm slow-growing nodular lesion, which affects the volar aspect of the hand. Multifocal lesions are rarely described in the literature and commonly involve the same finger or the volar aspect of different fingers. We report a rare case of three separate GCT occurring on both aspects of the hand thus raising the question of their etiology.

Keywords

Giant cell tumour - Tendon sheath - Hand - Trauma
 

  • References

  • 1 Jones FE, Soule EH, Coventry MB. Fibrous histiocytoma of synovium (giant cell tumour of tendon sheath, pigmented nodular synovitis). J Bone Joint Surg Am 1969; 51: 76-86
    PubMedGoogle Scholar
  • 2 Boyes JH. Solitary nodular synovitis: a traumatic lesion?. South Med 1966; J59 (10) 1212-1214
    CrossrefPubMedGoogle Scholar
  • 3 Ushijima M, Hashimoto H, Tsuneyoshi M, Enjoji M. Giant cell tumor of the tendon sheath (nodular tenosynovitis). A study of 207 cases to compare the large joint group with the common digit group. Cancer 1986; 57: 875-8414
    CrossrefPubMedGoogle Scholar
  • 4 Reilly KE, Stern PJ, Dale JA. Recurrent giant cell tumors of the tendon sheath. J Hand Surg [Am] 1999; 24: 1298-1302
    CrossrefPubMedGoogle Scholar
  • 5 Hirohata K. Light microscopic and electron microscopic studies of individual cells in pigmented villonodular synovitis and bursitis (Jaffé). Kobe J Med Sci 1968; 14: 251-279
    PubMedGoogle Scholar
  • 6 Rao AS, Vigorita VJ. Pigmented villonodular synovitis giant cell tumor of the tendon sheath of the synovial membrane). A reviewof eighty one cases. J Bone Joint Surg Am 1984; 66: 76-94
    PubMedGoogle Scholar
  • 7 Jaffe HL, Lichtenstein HL, Elsutro CJ. Pigmented villonodular synovitis, bursitis and synovitis. Arch Pathol 1941; 31: 731-765 Arch. Pathol. Lab. Med - Vol 12 - Nov 2002
    PubMedGoogle Scholar
  • 8 Wan JM, Magarelli N, Peh WC, Guglielmi G, Shek TW. Imaging of giant cell tumour of the tendon sheath. Radiol Med 2010; 115 (1) 141-151
    CrossrefPubMedGoogle Scholar
  • 9 Briët JP, Becker SJ, Oosterhoff TC, Ring D. Giant cell tumor of tendon sheath. Arch Bone Jt Surg 2015; 3 (1) 19-21
    PubMedGoogle Scholar
  • 10 Abdul-Karim FW, el Naggar AK, Joyce MJ, Makley JT, Carter JR. Diffuse and localized tenosynovial giant tumor and pigmented villonodular synovitis: a clinicopathologic and flow cytometric DNA analysis. Hum Pathol 1992; 23: 729-735
    CrossrefPubMedGoogle Scholar
  • 11 Ushijima M, Hashimoto H, Tsuneyoshi M, Enjoji M, Miyamoto Y, Okue A. Malignant giant cell tumor of tendon sheath. Report of a case. Acta Pathol Jpn 1985; 35: 699-709
    PubMedGoogle Scholar
  • 12 Altaykan A, Yildiz K, Hapa O, Cukur S. Multifocal giant cell tumor of the tendon sheath occuring at different localizations of the same tendon of a finger : a case report and review of the literature. Jt Dis Relat Surg 2009; 20 (2) 119-123
    PubMedGoogle Scholar
  • 13 Park JW. Multiple separated giant cell tumors of the tendon sheath in a thumb. J Am Acad Dermatol 2006; 54 (3) 540-542
    CrossrefPubMedGoogle Scholar