Mavrogenis Andreas F, Tsukamoto Shinji, Antoniadou Thekla, Righi Alberto, Errani Costantino
Orthopedics. 2019 Jul 1;42(4):e364-e369. doi: 10.3928/01477447-20190624-04.
Giant cell tumor (GCT) of the soft tissue (GCT-ST) is a rare, unusual primary soft tissue tumor that is completely distinct from, and should not be confused with, any giant cell-rich tumor of bone or soft tissue. Currently, GCT-ST is included in the group of so-called fibrohistiocytic tumors of intermediate (borderline) malignancy. The most common symptom is a painless, slow-growing mass in a superficial location. Computed tomography and magnetic resonance imaging show a solid, nonhomogeneous, frequently hemorrhagic mass. Differential diagnosis is broad and should include benign and malignant entities. The treatment and excision margins of GCT-ST are controversial. Incomplete surgical excision is usually followed by local recurrence. Biological behavior is unpredictable. Giant cell tumor of the soft tissue has shown a lower mean local recurrence rate compared to GCT of bone but has a higher metastatic and death rate. Therefore, close clinical follow-up is recommended. [Orthopedics. 2019; 42(4):e364-e369.].
软组织巨细胞瘤(GCT-ST)是一种罕见的、不寻常的原发性软组织肿瘤,它与任何富含巨细胞的骨或软组织肿瘤完全不同,不应与之混淆。目前,GCT-ST被归入所谓的中间型(交界性)恶性纤维组织细胞肿瘤组。最常见的症状是浅表部位无痛、生长缓慢的肿块。计算机断层扫描和磁共振成像显示为实性、不均匀、常伴有出血的肿块。鉴别诊断范围广泛,应包括良性和恶性病变。GCT-ST的治疗和切除边缘存在争议。手术切除不完全通常会导致局部复发。生物学行为不可预测。与骨巨细胞瘤相比,软组织巨细胞瘤的平均局部复发率较低,但转移率和死亡率较高。因此,建议密切临床随访。[《骨科学》。2019年;42(4):e364-e369。]