Ikeda Kazuo, Osamura Naoki, Tomita Katsuro
Department of Orthopaedic Surgery, School of Medicine, Kanazawa University, Japan.
Scand J Plast Reconstr Surg Hand Surg. 2007;41(3):138-42. doi: 10.1080/02844310601159766.
There are more diffuse giant cell tumours of the tendon sheath than we had expected, and we recommend excising them microscopically. We have treated 18 patients since 1988. They had two types of tumour: 10 nodular, and eight diffuse. We used a microscope to excise diffuse tumours. In the only case in which we did not use a microscope for a diffuse tumour, the tumour recurred. It spread to an adjacent joint in six diffuse tumours, but no nodular tumours. The detection of diffuse lesions was difficult without a microscope.
腱鞘弥漫性巨细胞瘤比我们预期的更多，我们建议在显微镜下切除它们。自1988年以来，我们已治疗了18例患者。他们有两种类型的肿瘤：10例结节性，8例弥漫性。我们使用显微镜切除弥漫性肿瘤。在唯一一例未使用显微镜切除弥漫性肿瘤的病例中，肿瘤复发了。6例弥漫性肿瘤扩散至相邻关节，但结节性肿瘤未出现这种情况。没有显微镜很难检测出弥漫性病变。
