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腱鞘巨细胞瘤酷似结节性骨关节炎。

Giant cell tumour of tendon sheath mimicking nodal osteoarthritis.

作者信息

Pottabatula Bhavana, Sattari Maryam

机构信息

Internal Medicine, University of Florida, Gainesville, Florida, USA

Internal Medicine, University of Florida, Gainesville, Florida, USA.

出版信息

BMJ Case Rep. 2020 Feb 19;13(2):e231902. doi: 10.1136/bcr-2019-231902.

DOI:10.1136/bcr-2019-231902
PMID:32079586
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7046374/
Abstract

Giant cell tumour of the tendon sheath (GCTTS) commonly presents as a slow-growing and painless soft-tissue lesion in the hand. It has a propensity to mimick other benign and malignant lesions of the hand including lipoma, haemangioma, myxoid cyst, synovial sarcoma, aneurysmal bone cyst, fibroma and osteosarcoma. GCTTS has a unique histopathological appearance that aids in definitive diagnosis. Although bony invasion and local aggressive characteristics have only been reported rarely, the treatment of choice is local excision. The following case illustrates a fairly typical presentation of GCTTS with certain atypical features.

摘要

腱鞘巨细胞瘤(GCTTS)通常表现为手部缓慢生长且无痛的软组织病变。它容易模仿手部的其他良性和恶性病变,包括脂肪瘤、血管瘤、黏液样囊肿、滑膜肉瘤、动脉瘤样骨囊肿、纤维瘤和骨肉瘤。GCTTS具有独特的组织病理学表现,有助于明确诊断。尽管骨侵犯和局部侵袭性特征仅有罕见报道,但首选的治疗方法是局部切除。以下病例说明了GCTTS一种具有某些非典型特征的相当典型的表现。

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本文引用的文献

1
Giant cell tumor of the tendon sheath: a rare periungual location simulating myxoid cyst.腱鞘巨细胞瘤:一种罕见的甲周部位,类似黏液样囊肿。
An Bras Dermatol. 2017 Jan-Feb;92(1):121-123. doi: 10.1590/abd1806-4841.20175229.
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Ultrasound of wrist and hand masses.腕部和手部肿块的超声检查。
Diagn Interv Imaging. 2015 Dec;96(12):1247-60. doi: 10.1016/j.diii.2015.10.007. Epub 2015 Nov 25.
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Giant cell tumor of tendon sheath: study of 64 cases and review of literature.腱鞘巨细胞瘤:64例研究及文献复习
G Chir. 2013 May-Jun;34(5-6):149-52. doi: 10.11138/gchir/2013.34.5.149.
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Giant cell tumors of the tendon sheaths in the hand: review of 96 patients with an average follow-up of 12 years.手部腱鞘巨细胞瘤:96 例患者的平均随访 12 年回顾。
Orthop Traumatol Surg Res. 2013 Jun;99(4 Suppl):S251-4. doi: 10.1016/j.otsr.2013.03.008. Epub 2013 Apr 23.
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Giant cell tumor of tendon sheath: cytomorphologic and radiologic findings in 41 patients.腱鞘巨细胞瘤:41例患者的细胞形态学和影像学表现
Diagn Cytopathol. 2012 Aug;40 Suppl 2:E94-8. doi: 10.1002/dc.22840. Epub 2012 Mar 27.
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J Clin Pathol. 2001 May;54(5):404-7. doi: 10.1136/jcp.54.5.404.
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J Bone Joint Surg Br. 2000 May;82(4):571-3. doi: 10.1302/0301-620x.82b4.10328.
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Giant cell tumor of the tendon sheath (nodular tenosynovitis). A study of 207 cases to compare the large joint group with the common digit group.腱鞘巨细胞瘤(结节性腱鞘炎)。一项对207例病例的研究,比较大关节组和常见手指组。
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