Galbiatti José Antonio, Milhomens Gabriel Rodrigues Dos Santos, Silva Luís Felipe Haber Figueiredo E, Santiago Diego Dos Santos, Silva Neto José Cassimiro da, Belluci Sérgio de Oliveira Bruno
Faculdade de Medicina de Marília, Marília, SP, Brasil.
Irmandade da Santa Casa de Misericórdia de Marília, Marília, SP, Brasil.
Rev Bras Ortop (Sao Paulo). 2019 Feb;54(1):26-32. doi: 10.1016/j.rbo.2017.11.005. Epub 2019 Mar 1.
To evaluate the results of the treatment of 31 giant-cell tumors of the tendon sheath of the hand cared for between 2006 and 2015.
A group of patients for the present retrospective evaluation was defined, covering the period between February 2006 and November 2015, in which 31 records of patients who underwent surgery due to cell tumor of the tendon sheath of the fingers were studied and evaluated. The recommended treatment was complete excision of the tumor with preservation of the adjacent structures. The diagnosis was confirmed by pathological examination. The progress of the treatment after surgery was evaluated, especially regarding the rate of tumor recurrence.
Taking all 31 patients into consideration, there was a predominance of the female gender and white ethnicity. Most of these patients were aged between 30 and 50 years. The most affected side was the left one, and most tumors were in the flexor face. There was a predominance of the radial fingers, along with their distal end. A total of 27 patients are being followed up at regular intervals at an outpatient clinic, and three cases of tumor recurrence have been identified.
An appropriate surgical technique is essential in order to prevent GCTTS recurrences. The results obtained in this research are in agreement with the literature.
评估2006年至2015年间接受治疗的31例手部腱鞘巨细胞瘤的治疗结果。
确定一组用于本次回顾性评估的患者，涵盖2006年2月至2015年11月期间，研究并评估31例因手指腱鞘细胞瘤接受手术的患者记录。推荐的治疗方法是完整切除肿瘤并保留相邻结构。通过病理检查确诊。评估术后治疗进展，尤其是肿瘤复发率。
考虑所有31例患者，女性和白种人占多数。这些患者大多年龄在30至50岁之间。最常受累的一侧是左侧，大多数肿瘤位于屈侧。桡侧手指及其远端占优势。共有27例患者在门诊定期随访，已发现3例肿瘤复发。
合适的手术技术对于预防腱鞘巨细胞瘤复发至关重要。本研究获得的结果与文献一致。
