■腱鞘巨细胞瘤(GCTTS)是影响手部的第二常见软组织肿瘤。在病因上没有共识,预后因素,或GCTTS的复发率。本文介绍了一系列18例病例,并辅以研究流行病学的文献综述,介绍,总体和微观特征,GCTTS的复发率。
■共18例经病理诊断为手或手指GCTTS的患者。肿瘤的位置仅限于手腕和手。所有病例均在广泛清醒局部麻醉(WALANT)下手术,用放大镜。
■从2016年到2018年,共有18例患者在我们机构就诊,诊断为GCTTS。18名患者中,11人是女性,7人是男性。纳入患者的平均年龄为43.6岁(31-59岁)。最常见的病变部位是中指(4/18),接着是食指,手腕,和拇指(每个3/18)。小指和无名指受到的影响最少,每种情况都有一种。肿瘤的平均大小为2.4厘米(0.5-5厘米)。在平均18.8个月的随访中,没有患者报告病变复发。
■GCTTS是良性的,缓慢生长的手部病变,通常不会引起任何症状,并通过手术切除治疗。使用放大镜精心切除GCTTS以确保适当的广泛切除肿瘤是预防复发的首选治疗方法。此外,必须对肿瘤进行影像学和组织病理学检查,以排除其他诊断。最后,应重建手的功能,以最大程度地减少任何功能单元的损失。
UNASSIGNED: The giant cell tumour of the tendon sheath (GCTTS) is the second most frequent soft tissue tumour affecting the hand. No consensus exists on the etiology, prognostic factors, or recurrence rate of GCTTS. This article presents a series of 18 cases supplemented by a literature review that examines the epidemiology, presentation, gross and microscopic characteristics, and recurrence rate of GCTTS.
UNASSIGNED: A total of 18 patients with a histo-pathological diagnosis of a GCTTS of the hand or finger were reviewed. The location for the tumour was limited to the wrist and hand. All cases were operated under Wide Awake Local anaesthesia (WALANT), and using a magnifying loupe.
UNASSIGNED: A total of 18 patients presented at our institution with a diagnosis of GCTTS from 2016 to 2018. Of the 18 patients, 11 were female and 7 were male. The mean age of included patients was 43.6 years (31-59 years). The most common site for the lesion was the middle finger (4/18), followed by the index finger, wrist, and thumb (3/18 each). The little and ring finger were least commonly affected with one case each. The mean size of the tumour was 2.4 cm (0.5-5 cm). None of the patients reported recurrence of the lesion on an average follow-up of 18.8 months.
UNASSIGNED: GCTTS is a benign, slowly growing lesion of the hand that typically does not cause any symptoms and is treated with surgical resection. Meticulous excision of the GCTTS using magnification loupes to ensure appropriate wide excision of the tumour is the treatment of choice to prevent a recurrence. In addition, a radiographic and histopathological examination must be performed on the tumour to rule out other diagnoses. Finally, the function of the hand should be reconstructed to minimize the loss of any functional unit.