Giant cell tumor of the tendon sheath: A rare case in the left knee of a 15-year-old boy
- Authors:
- Chengtao Sun
- Wei Sheng
- Huiming Yu
- Junqing Han
View Affiliations
Affiliations: Tumor Research and Therapy Center, Provincial Hospital affiliated to Shandong University, Shandong University, Jinan, Shandong 250021, P.R. China
- Published online on: January 4, 2012 https://doi.org/10.3892/ol.2012.555
-
Pages:
718-720
Metrics: Total
Views: 0 (Spandidos Publications: | PMC Statistics: )
Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )
This article is mentioned in:
Abstract
Localized forms of giant cell tumors are defined as giant cell tumors of the tendon sheath (GCTTS). GCTTS arises from the synovium of a joint, bursa or tendon sheath, and 85% of the tumors occur in the fingers. GCTTS in the knee is extremely rare. We report an unusual case of a 15-year-old boy who presented with an occult growing swelling and a 2-month history of infra-patellar pain in the left knee. Magnetic resonance imaging (MRI) demonstrated a well-circumscribed soft tissue mass in the infra-patellar fat pad posterior to the patella tendon. Excision biopsy was performed by surgical removal. Histopathological examination revealed that it was GCTTS. During the follow-up period, his recovery was propitious and there was no recurrence. Owing to its few and non-specific symptoms, and local recurrence varying from 9 to 44%, its proper, early diagnosis and appropriate treatment is necessary. The purpose for which we report the case is to emphasize the possibility of GCTTS where there is a mass with non-specific symptoms such as infra-patellar pain of the knee, and to avoid misdiagnosis where possible.
View References
|
1
|
Reilly KE, Stern PJ and Dale JA: Recurrent
giant cell tumors of the tendon sheath. J Hand Surg. 24:1298–1302.
1999. View Article : Google Scholar : PubMed/NCBI
|
|
2
|
Abdul-Karim FW, el-Naggar AK, Joyce MJ,
Makley JT and Carter JR: Diffuse and localized tenosynovial giant
cell tumor and pigmented villonodular synovitis: a
clinicopathologic and flow cytometric DNA analysis. Hum Pathol.
23:729–735. 1992. View Article : Google Scholar : PubMed/NCBI
|
|
3
|
Jaffe HL, Lichtenstein L and Sutro CJ:
Pigmented villonodular synovitis, bursitis and tenosynovitis. Arch
Pathol. 31:731–765. 1941.
|
|
4
|
Fletcher CDM, Krishnan Unni K and Mertens
F: Giant cell tumour of tendon sheath. World Health Organization
Classification of Tumors, Pathology and Genetics of Tumors of Soft
Tissue and Bone. IARC Press; Lyon: pp. 110–111. 2002
|
|
5
|
Ushijima M, Hashimoto H, Tsuneyoshi M and
Enjoji M: Giant cell tumor of the tendon sheath (nodular
tenosynovitis): a study of 207 cases to compare the large joint
group with the common digit group. Cancer. 57:875–884. 1986.
View Article : Google Scholar : PubMed/NCBI
|
|
6
|
Uriburu IJ and Levy VD: Intraosseous
growth of giant cell tumors of the tendon sheath (localized nodular
tenosynovitis) of the digits: report of 15 cases. J Hand Surg.
23:732–736. 1998. View Article : Google Scholar : PubMed/NCBI
|
|
7
|
Sanghvi DA, Purandare NC, Jambhekar NA,
Agarwal MG and Agarwal A: Diffuse-type giant cell tumor of the
subcutaneous thigh. Skeletal Radiol. 36:327–330. 2007. View Article : Google Scholar : PubMed/NCBI
|
|
8
|
Relwani J, Factor D, Khan F and Dutta A:
Giant cell tumor of the patellar tendon sheath-an unusual cause of
anterior knee pain: a case report. Knee. 10:145–148. 2003.
View Article : Google Scholar : PubMed/NCBI
|
|
9
|
Cheng XG, You YH, Liu W, Zhao T and Qu H:
MRI features of pigmented villonodular synovitis (PVNS). Clin
Rheumatol. 23:31–34. 2004. View Article : Google Scholar : PubMed/NCBI
|
|
10
|
Monaghan H, Salter DM and Al-Nafussi A:
Giant cell tumour of tendon sheath (localized nodular
tenosynovitis): clinicopathological features of 71 cases. J Clin
Pathol. 54:404–407. 2001. View Article : Google Scholar : PubMed/NCBI
|
|
11
|
Ikeda K, Osamura N and Tomita K: Giant
cell tumor in the tendon sheath of the hand: importance of the type
of lesion. Scand J Plast Reconstr Surg Hand Surg. 41:138–142. 2007.
View Article : Google Scholar : PubMed/NCBI
|
|
12
|
Kotwal PP, Gupta V and Malhotra R:
Giant-cell tumor of the tendon sheath: is radiotherapy indicated to
prevent recurrence after surgery? J Bone Joint Surg Br. 82:571–573.
2000.PubMed/NCBI
|
|
13
|
Lowyck H and De Smet L: Recurrence rate of
giant cell tumors of the tendon sheath. Eur J Plast Surg.
28:385–388. 2006. View Article : Google Scholar
|
