Díaz GJM, Domínguez-Cherit J, López GNS

Language: Spanish
References: 12
Page: 11-13
PDF size: 135.18 Kb.

ABSTRACT

Giant cell tumor of the tendon sheat (gctts) is a benign and frequent tumor. It is the second most common tumor of the hand, just after the ganglion cyst. The tumor is most commonly diagnosed between the fourth and sixth decades of life. Women are more affected than men. Although gctts presents in a digit of the hand, it may also present in the palm, wrist, foot, knee, ankle, elbow or hip. Histologically, gctts is formed by four main types of cells: the principal synovial cells, multinucleated giant cells, foam cells and hitiocyte-like cells. Treatment for gctts is local excision. Surgeon must take care to preserve the tendons, digital arteries and nerves, if possible. Recurrence of the tumor has been reported in up to 44% of cases.
Here are described seven cases diagnosed from January 2006 to September 2015 at Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán. This series of cases differs in the epidemiology or clinical presentation that literature has reported.

REFERENCES

1. Lifchez SD y Kelamis JA. Surgery of the hand and wrist, en Schwartz’s principles of surgery, 10a ed, McGraw Hill Education, Nueva York, 2014, pp. 1787-828.

2. Ramos Pascua LR, Guerra Álvarez OA, Casas Ramos P y Arias Martín F. Giant cell tumor of the tendon sheaths of the fingers, Reumatología Clínica 2015; 11: 252-4.

3. Erosa Farah MA, Cortés Cárdenas SA y López Íñiguez A. Tumor de células gigantes de la vaina tendinosa en la mano, Revista de Especialidades Médico-Quirúrgicas 2012; 17: 146-9.

4. Zhang Y, Huang J, Ma X et al. Giant cell tumor of the tendon sheath in the foot and ankle: case series and review of the literature, The Journal of Foot & Ankle Surgery 2013; 52: 24-7.

5. Wang CS, Duan Q, Xue YJ et al. Giant cell tumour of tendon sheath with bone invasion in extremities: analysis of clinical and imaging findings, La Radiología Médica 2015; 120: 745-52.

6. Fritchie KJ. Soft tissue and bone pathology, en Pathology: a modern case study, McGraw Hill Education, Nueva York, 2015, pp. 483-526.

7. Briët JP, Becker SJ, Oosterhoff TC y Ring D. Giant cell tumor of tendon sheath, The Archives of Bone and Joint Surgery 2015; 3: 19-21.

8. Ho CY y Maleki Z. Giant cell tumor of tendon sheath: cytomorphologic and radiologic findings in 41 patients, Diagnostic Cytopathology 2012; 40: 94-8.

9. Alarcón Hernández H, Enríquez Merino J, Novales Santa Coloma J y Pérez Cortés S. Tumor de células gigantes de la vaina tendinosa. Reporte de un caso, Revista del Centro Dermatológico Pascua 2001; 10: 90-3.

10. Lancigui R, Rabarin F, Jeudy J et al. Giant cell tumors of the tendon sheaths in the hand: review of 96 patients with an average follow-up of 12 years, Orthopaedics & Traumatology: Surgery & Research 2013; 99: 251-4.

11. Rodríguez Acar M, Ramos Garibay A, Domínguez Serrato MA y Salcedo García DL Tumor de células gigantes de la vaina tendinosa, Revista del Centro Dermatológico Pascua 2010; 19: 108-11.

12. Mena E, Martín Miramón JC, Bernà L et al. Tumor de células gigantes de la vaina tendinosa: hallazgos característicos de la gammagrafía ósea y correlación con la rmn, Revista Española de Medicina Nuclear e Imagen Molelucar 2009; 28: 249-52.