Giant Cell Tumors in the Patellar Tendon Area (original) (raw)

Tendosynovial giant cell tumor of the patellar tendon sheath

European Journal of Orthopaedic Surgery & Traumatology, 2004

A 55-year-old woman presented with a 1month history of anterior pain of the right knee. Magnetic resonance imaging showed a well-defined soft tissue mass in the fat pad posteriorly to the patellar tendon. An excisional biopsy was performed. Histologic examination showed tendosynovial giant cell tumor of the patellar tendon sheath. At the latest follow-up, there was no local tumor recurrence.

Giant Cell Tumor of Tendon Sheath – A Case Report

IOSR Journals , 2019

Introduction: They are rare soft tissue tumors of hand. They are considered to be arising due to minute repeated tumors. There are also reported incidences of malignant giant cell tumors. Treatment would be complete surgical excision. Case report: A 22 year old male came with complaints of a slow growing swelling in the right great toe of size 4*3 cms which is firm and not mobile. Fnac showed features suggestive of inflammation. Lesion was completely excised under regional anesthesia. Post operative biopsy showed giant cell tumor of the tendon sheath. Post operative follow up patient was comfortable and asymptomatic. Discussion: They are mostly seen in hand and foot of women and are seen mostly in mid 30-40’s. They appear as a slow growing, painless tumors. They are pre operatively diagnosed by USG, MRI and Fnac. They are treated by complete surgical excision. They have a high recurrence rate. Post operative radiotherapy shows no recurrence

A Case Series of Giant Cell Tumor of Tendon Sheath

IOSR Journals , 2019

Giant cell tumor of tendon sheath is a relatively rare non-malignant soft tissue tumor arising from the synovial cells and is associated with high recurrence rate. However it is the second most common tumor in hands after ganglion cysts. Few factors considered for recurrence are proximity of distal inter phalangeal joints, presence of degenerative joint disease, pressure erosions in radiograph, increased mitotic activity. But only consistent observation found is incomplete excision of the tumor which leads to recurrence.Here we present a case series comprising of 4 cases over a period of 2 years for whom marginal excision was done and they were kept on regular follow up without any recurrence.

Giant-cell tumour of the tendon sheath: A review

2014

Introduction Giant-cell tumour of the tendon sheath is a solitary, firm, extraarticular localized, benign, soft tissue tumour that usually presents with painless swelling for several years. Aetiology of the disease is unknown. It is a relatively rare soft tissue tumour, an overall incidence is 1 in 50,000 individuals and usually affects people between 30 to 50 years. It is more often seen in women, the female to male ratio is 3:2. There is no certain treatment protocol but complete local excision with or without radiotherapy is the treatment of choice. Local recurrence after excision is approximately 10 % to 20 %. It typically affects small joints of hands and feet. Also, it can be found around the ankle, knee joints, elbow or hip. The aim of this review was to discuss giant-cell tumours of the tendon sheath. Conclusion There are lots of obscurities about this topic, so more prospective welldesigned studies including large number of cases are necessary to determine the prognostic factors, recurrence rate and proper treatment protocol for each individual patient.

Giant Cell Tumor of the Patella Tendon Sheath Presenting as a Painful Locked Knee

American Journal of Case Reports, 2015

Objective: Rare disease Background: The giant cell tumor of the tendon sheath (GCT-TS) is a benign proliferative synovial tumor manifesting as an intra-articular solitary nodule. When it involves the infrapatellar fat pad it can present acutely as a painful locked knee. Case Report: A 26-year-old white male presented with a 2-week history of painful locking in his right knee. Clinical examination revealed lack of extension by approximately 20°. To help establish the diagnosis, an MRI scan of the right knee was performed, showing a large (5×4×2 cm), oval, well-circumscribed mass with a low-intensity homogenous signal. The size of the mass prohibited the removal by arthroscopy and we therefore proceeded with an open arthrotomy. Histological examination showed a tendosynovial giant cell tumor of the patella tendon sheath. At the latest follow-up, 2 years postoperatively, there was no local tumor recurrence. Conclusions: These rare tumorous lesions should be included in the differential diagnosis of painful locking knee, especially in the absence of definite traumatic history.

Giant cell tumour of tendon sheath and synovial membrane: A review of 26 cases

Journal of Clinical Orthopaedics and Trauma, 2017

Aim of our study is to highlight the incidence and benign nature of Giant cell tumour of tendon sheath and need for complete removal, thus minimizing the chances of recurrence. Material and methods: A total of 26 cases of Giant cell tumour of tendon sheath operated in the

Localized Giant Cell Tumor of the Tendon Sheath: A Rare Case of Anterior Knee Pain

Journal of Biosciences and Medicines, 2019

This report describes a 61-year-old female with a giant cell tumor of the tendon sheath (GCT-TS). MRI showed that an elliptical abnormal signal was observed over the infrapatellar region of the right knee. We directly do arthroscopy to remove the tumor. An oval irregular mass of about 2.0 cm × 1.5 cm × 1 cm in the right knee joint was found. It was hard and had a dark red surface and the pedicle of the mass was connected with the joint capsule and infrapatellar fat pad. Nodular GCT-TS occurs less frequently in large joints than the small joints of the fingers and toes. The current report demonstrates the unique characteristics of the GCT-TS that extends around the ankle and invades the knee and proximal humerus.

Giant Cell Tumour of the Tendon Sheath: A Case Report

Journal of Evolution of medical and Dental Sciences, 2016

INTRODUCTION: The giant cell tumor of tendon sheath is among the more common soft tissue tumors of the hand. It is a slowly progressive, usually painless, rubbery mass predominating on the radial three digits of the hand and is typically identified adherent to the digital flexor tendon sheath of the hand. The histology is variable but the tumors consistently contain multinucleated giant cells and xanthoma cells. CASE PRESENTATION: A case report of a 57 years old female patient who came with a diffuse, painless swelling on the radial aspect of middle finger of the right hand at the Orthopedic OPD of our institution. MANAGEMENT & OUTCOME: A planned operative procedure was done. After clinical examination and other investigations, a careful excision of the mass was done by detaching it from the underlying tendon sheath. The tissue was sent for biopsy to two different labs for examination. The reports were confirmed as Giant Cell tumor of the tendon Sheath. DISCUSSION: A giant cell tumo...