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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.

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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