Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016:2016:1834740.
doi: 10.1155/2016/1834740. Epub 2016 Aug 10.

Multiple Giant Cell Tumors of Tendon Sheath Found within a Single Digit of a 9-Year-Old

John S Hwang  1 , Valerie A Fitzhugh  2 , Peter D Gibson  1 , Jacob Didesch  1 , Irfan Ahmed  1
Affiliations

Multiple Giant Cell Tumors of Tendon Sheath Found within a Single Digit of a 9-Year-Old

John S Hwang et al. Case Rep Orthop. 2016.

Abstract

Giant cell tumor of tendon sheath is one of the most common soft tissue tumors of the hand. These tumors typically occur in the third or fourth decade of life and present as solitary nodules on a single digit. Currently, the greatest reported number of lesions found within a single digit is five. Although uncommon, giant cell tumor of tendon sheath does occur in the pediatric population. Herein we present a report of a rare case of GCTTS in a child in which seven lesions were identified within a single digit-the greatest number of lesions within a single digit reported to date.

PubMed Disclaimer

Figures

Figure 1
Figure 1
(a) MRI T1 sagittal image demonstrating hypodense masses on the volar aspect of the middle finger. (b) MRI T1 axial image demonstrating hypodense masses on the volar aspect of the middle finger.
Figure 2
Figure 2
Preoperative image of left hand demonstrating fullness of the middle finger with bluish discoloration.
Figure 3
Figure 3
(a) Hematoxylin and eosin stained section demonstrating giant cells and mononuclear cells embedded within a collagenous matrix (600x). (b) Hematoxylin and eosin stained section demonstrating hemosiderin laden cells (600x). (c) Hematoxylin and eosin stained section demonstrating clusters of xanthomatous cells (600x).
Figure 4
Figure 4
(a) Intraoperative image demonstrating five masses within the flexor tendon sheath of the middle finger. (b) Gross pathology demonstrated five resected masses found within the flexor tendon sheath of the middle finger.
Figure 5
Figure 5
Healed incision of the left hand.
See this image and copyright information in PMC

References

    1. Suresh S. S., Zaki H. Giant cell tumor of tendon sheath: case series and review of literature. Journal of Hand and Microsurgery. 2010;2(2):67–71. doi: 10.1007/s12593-010-0020-9. - DOI - PMC - PubMed
    1. Al-Qattan M. M. Giant cell tumours of tendon sheath: classification and recurrence rate. Journal of Hand Surgery. 2001;26(1):72–75. doi: 10.1054/jhsb.2000.0522. - DOI - PubMed
    1. Green D. P. Green's Operative Hand Surgery. Philadelphia, Pa, USA: Elsevier/Churchill Livingstone; 2005.
    1. Gholve P. A., Hosalkar H. S., Kreiger P. A., Dormans J. P. Giant cell tumor of tendon sheath: largest single series in children. Journal of Pediatric Orthopaedics. 2007;27(1):67–74. doi: 10.1097/01.bpo.0000242380.95348.8b. - DOI - PubMed
    1. Singh T., Noor S., Simons A. W. Multiple localized giant cell tumor of the tendon sheath (GCTTS) affecting a single tendon: a very rare case report and review of recent cases. Hand Surgery. 2011;16(3):367–369. - PubMed

LinkOut - more resources