复发性色素沉着绒毛结节性滑膜炎和腱鞘多灶性巨细胞瘤：病例报告。
Recurrent pigmented villonodular synovitis and multifocal giant cell tumor of the tendon sheath: case report.
作者信息
Wang Jung-Pan, Rancy Schneider K, DiCarlo Edward F, Wolfe Scott W
机构信息
Division of Hand and Upper Extremity Surgery, Hospital for Special Surgery, New York, NY, USA; Department of Pathology, Hospital for Special Surgery, New York, NY, USA; Weill Medical College of Cornell University, New York, NY, USA; School of Medicine, National Yang-Ming University, Taipei, Taiwan; Department of Orthopaedics & Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan.
Division of Hand and Upper Extremity Surgery, Hospital for Special Surgery, New York, NY, USA; Department of Pathology, Hospital for Special Surgery, New York, NY, USA; Weill Medical College of Cornell University, New York, NY, USA; School of Medicine, National Yang-Ming University, Taipei, Taiwan; Department of Orthopaedics & Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan.
出版信息
J Hand Surg Am. 2015 Mar;40(3):537-41. doi: 10.1016/j.jhsa.2014.11.010. Epub 2015 Jan 9.
Intra- and extra-articular giant cell tumor of tendon sheath (GCTTS) and pigmented villonodular synovitis (PVNS) are histologically similar, usually benign tumors that can be characterized by synovial involvement (GCTTS) or overgrowth (PVNS). These tumors are most often found in the knee and digits of the hand. Although recurrence is a common feature of both conditions, multifocal lesions are rare. We present an unusual case of multifocal, recurrent, bilateral GCTTS/PVNS involving both upper and lower extremities. Recurrent right ankle and right index finger masses, in addition to masses on the right small finger and left thumb, were excised over a 14-year period.
腱鞘内和关节外腱鞘巨细胞瘤（GCTTS）和色素沉着绒毛结节性滑膜炎（PVNS）在组织学上相似，通常为良性肿瘤，其特征可能为滑膜受累（GCTTS）或过度生长（PVNS）。这些肿瘤最常出现在膝关节和手部手指。尽管复发是这两种疾病的常见特征，但多灶性病变很少见。我们报告了一例罕见的多灶性、复发性、双侧GCTTS/PVNS病例，累及上下肢。在14年的时间里，除了右手小指和左手拇指上的肿块外，还切除了右踝关节和右手食指的复发性肿块。
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