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2008, Number 2

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Residente 2008; 3 (2)

Tumor of giant cells of tendinous sheath of right wrist. Case report

Barragán ERA, Amaya ZR
Full text How to cite this article

Language: Spanish
References: 6
Page: 59-63
PDF size: 235.93 Kb.


Key words:

Giant cell tumor, localized pigmented nodular tenosynovitis, tendon sheath.

ABSTRACT

A 30 year old female patient presents with a mass on the volar side of the right wrist, 3 years of evolution, 4 x 2 cm, hard, well-defined edges, not mobile, with no functional limitation to the wrist, slight intermittent pain along with median nerve sensitive alterations. The first diagnosis is of a wrist lipoma. She is sent to the Bone Tumors Unit of the Orthopedic Hospital «Victorio de la Fuente Narváez» of Instituto Mexicano del Seguro Social. Surgical resection of the tumor was decided following clinical and radiologic evaluation. A multilobulated tumor was extracted, 6 x 4 cm, that extended from the distal radius to the scaphoid and trapezoid bones, also to the first dorsal compartment of the wrist. It was wrapped around the median nerve and extense vascular supply originated from the radial artery. The final pathology report was of a giant cell tumor of the tendon sheath.


REFERENCES

  1. Khan S, Neumann CH, Steinbach LS, Harrington KD, MRI of giant cell tumor of tendon sheath of the hand: a report of three cases. Eur Radiol 1995; 5: 467-470.

  2. Ushijima M, Hashimoto H, Tsuneyoshi M, Enjoji M. Giant cell tumor of the tendon sheath (nodular tenosinovitis). A study of 207cases to compare the large joint group with the common digit group. Cancer 1986; 57: 875-884.

  3. Karasick D, Karasick S. Giant cell tumor of tendon sheath: spectrum of radiologic findings. Skeletal Radiol 1992; 21: 219-224.

  4. Bui-Mansfield LT, Youngberg RA, Coughlin W, Chooljian D. MRI of giant cell tumor of the tendon sheath in the cervical spine. Journal of Computer Assisted Tomography 1996; 20(1):113-115.

  5. Jelinek JS, Kransdorf MJ, Shmookler BM, Aboulafia AA, Malawer MM. Giant cell tumor of the tendon sheath: MR findings in nine cases. AJR 1994; 162: 919-922.

  6. Menéndez LR. OKU Actualizaciones en cirugía ortopédica y traumatología: tumores osteomusculares. Barcelona Espańa 2003.




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Residente. 2008;3