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手部屈肌腱腱鞘巨细胞瘤:27例分析

Giant cell tumour of the flexor tendon sheath of the hand: analysis of 27 cases.

作者信息

Hamdi M F, Touati B, Zakhama A

机构信息

Department of Trauma and Orthopaedics Surgery, F. Bourguiba University Hospital, 5000, Monastir, Tunisia.

出版信息

Musculoskelet Surg. 2012 Jun;96(1):29-33. doi: 10.1007/s12306-011-0148-1. Epub 2011 Jun 15.

DOI:10.1007/s12306-011-0148-1
PMID:21674255
Abstract

Giant cell tumour of the tendon sheath (GCTTS) is a slowly progressing benign tumour arising from synovial cells of tendon sheaths. It is one of the most common soft tissue tumours in the hand. We report a retrospective study of 27 proven GCTTS of the hand. The mean length of follow-up was 4.5 years (17 months-8.5 years). Radiographic findings are useful and may prove of great diagnostic value. The positive diagnosis was provided by the pathology examination after complete excision that was performed in all patients. The recurrence was noted in two surgically managed cases. The excision should be meticulous and complete in order to avoid recurrence.

摘要

腱鞘巨细胞瘤(GCTTS)是一种起源于腱鞘滑膜细胞的缓慢进展性良性肿瘤。它是手部最常见的软组织肿瘤之一。我们报告了一项对27例经证实的手部腱鞘巨细胞瘤的回顾性研究。平均随访时间为4.5年(17个月至8.5年)。影像学检查结果很有用,可能具有很大的诊断价值。所有患者均在完整切除后通过病理检查做出阳性诊断。在两例手术治疗的病例中发现了复发情况。为避免复发,切除应细致且完整。

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本文引用的文献

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Recurrence of giant cell tumors in the hand: a prospective study.手部巨细胞瘤的复发:一项前瞻性研究。
J Hand Surg Am. 2010 Mar;35(3):451-6. doi: 10.1016/j.jhsa.2009.12.004.
2
Multifocal giant cell tumor of the tendon sheath occuring at different localizations of the same tendon of a finger: a case report and review of the literature.发生于手指同一肌腱不同部位的腱鞘多灶性巨细胞瘤:1例报告并文献复习
Eklem Hastalik Cerrahisi. 2009;20(2):119-23.
3
Giant cell tumour of tendon sheath: experience with 52 cases.腱鞘巨细胞瘤:52例病例经验
手部和腕部腱鞘纤维瘤的超声表现。
BMC Musculoskelet Disord. 2023 Feb 23;24(1):144. doi: 10.1186/s12891-023-06250-y.
4
Imaging and surgical approach for a schwannoma of the hand.手部神经鞘瘤的影像学与手术入路
J Med Ultrason (2001). 2014 Apr;41(2):229-32. doi: 10.1007/s10396-013-0495-7. Epub 2013 Sep 19.
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Giant cell tumours in fingers among the Inuit population in Greenland.
Int J Circumpolar Health. 2016 Apr 5;75:31285. doi: 10.3402/ijch.v75.31285. eCollection 2016.
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Giant Cell Tumour of the Tendon Sheath: Analysis of 35 Cases and their Ki-67 Proliferation Indexes.腱鞘巨细胞瘤:35例病例及其Ki-67增殖指数分析
J Clin Diagn Res. 2014 Dec;8(12):FC12-5. doi: 10.7860/JCDR/2014/10553.5311. Epub 2014 Dec 5.
Singapore Med J. 2008 Nov;49(11):879-82.
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The value of sonography in diagnosing giant cell tumors of the tendon sheath.超声检查在诊断腱鞘巨细胞瘤中的价值。
J Ultrasound Med. 2007 Oct;26(10):1333-40. doi: 10.7863/jum.2007.26.10.1333.
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[Giant cell tumors of the tendon sheath of the hand: 32 cases].[手部腱鞘巨细胞瘤:32例]
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