Giant cell tumor of the tendon sheath: Magnetic resonance imaging findings in 38 patients

Wang,Chao; Song,Rui‑Rui; Kuang,Ping‑Ding; Wang,Liu‑Hong; Zhang,Min‑Ming

doi:10.3892/ol.2017.6011

June-2017 Volume 13 Issue 6

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June-2017 Volume 13 Issue 6

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Article

Giant cell tumor of the tendon sheath: Magnetic resonance imaging findings in 38 patients

Authors:
- Chao Wang
- Rui‑Rui Song
- Ping‑Ding Kuang
- Liu‑Hong Wang
- Min‑Ming Zhang
View Affiliations / Copyright

Affiliations: Department of Radiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310009, P.R. China
Pages: 4459-4462
|
Published online on: April 7, 2017

https://doi.org/10.3892/ol.2017.6011
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Abstract

The present study aimed to investigate the value of magnetic resonance imaging (MRI) in the diagnosis of giant cell tumor of the tendon sheath (GCTTS), including localized (L‑) and diffuse (D‑) types. A total of 38 patients with GCTTS, including 31 with L‑GCTTS and 7 with D‑GCTTS, diagnosed by surgery and pathology, were retrospectively analyzed. All patients underwent MRI examination. Of the 31 patients with L‑GCTTS, the tumors were located in the hand and wrist (18 patients), the ankle and foot (10 cases), the knee joint (2 cases) and the temporomandibular joint (1 case). All 31 lesions were either located in relation to a tendon or were partially/completely enveloping it and all were well marginated. With respect to the 7 D‑GCTTS patients, the tumors were located in the ankle and foot (6 cases) or the hand and wrist (1 cases). All 7 lesions presented as an aggressive soft tissue mass infiltrating the tendon sheath and adipose tissue around the joint. The characteristic internal signal of GCTTS, including L‑GCTTS and D‑GCTTS, was demonstrated by MRI examination. MRI is currently the optimal modality for preoperative assessment of tumor size, extent and invasion of adjacent joint and tenosynovial space.

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