Lu Bin, Xue Hua, Cui Qing-Yuan, He Fang
Department of Orthopaedics, the People's Hospital of Maanshan City, Maanshan 243000, Anhui, China.
Zhongguo Gu Shang. 2011 Dec;24(12):1030-1.
To investigate diagnostic methods and surgical effect for the treatment of giant cell tumor of tendinous sheath in wrist.
From September 2002 to October 2009, 8 patients with preoperative diagnosis as giant cell tumor of tendinous sheath based on MRI were treated surgically. There were 5 males and 3 females, ranging in age from 16 to 65 years, with an average of 41 years. The disease course ranged from 10 to 72 months with an average of 31 months.
The diagnosis of all the patients was confirmed as giant cell tumor of tendinous sheath by postoperative pathology. All the patients were followed up, and the during ranged from 5 to 48 months (averaged, 34.2 months). One patient recurred and 3 patients got obvious relief of symptoms of median nerve injury. All the patients had significant improvement in wrist function after surgery.
Preoperative MRI is helpful for differential diagnosis of giant cell tumor of tendinous sheath. Thorough removal of tumor is very important in prevention of recurrence.
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