[Diagnosis and treatment of giant cell tumor of tendinous sheath in wrist].

OBJECTIVE

To investigate diagnostic methods and surgical effect for the treatment of giant cell tumor of tendinous sheath in wrist.

METHODS

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.

RESULTS

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.

CONCLUSION

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.