Christanto Aswin Gunawan, Kuntara Atta
Department of Radiology, Faculty of Medicine, Padjajaran University and Hasan Sadikin General Hospital, Bandung, Indonesia.
Radiol Case Rep. 2022 Apr 6;17(6):1946-1950. doi: 10.1016/j.radcr.2022.02.073. eCollection 2022 Jun.
Tenosynovial Giant Cell Tumors (TSGCT) are the second most frequent benign soft tissue tumor in the hand and wrist after ganglion cysts. The tumor arises from joint synovia and tendon sheaths. It is divided into 2 categories: localized and diffuse type. The well-circumscribed localized type usually responds nicely to single excision surgery. The diffuse type, on the other hand, has a proclivity for becoming an aggressive lesion. We reported a case of a 56-year-old woman who was experiencing shortness of breath as a result of lung metastases. A TSGCT, localized type, was found after radiology, and histology examination of the re-excised surgical lesion was done. This rare case demonstrates the possibility of lung metastases from tenosynovial giant cell tumor, localized type.
腱鞘巨细胞瘤(TSGCT)是手部和腕部仅次于腱鞘囊肿的第二常见良性软组织肿瘤。该肿瘤起源于关节滑膜和腱鞘。它分为两类:局限性和弥漫性。边界清晰的局限性类型通常对单次切除手术反应良好。另一方面,弥漫性类型容易发展为侵袭性病变。我们报告了一例56岁女性因肺转移而出现呼吸急促的病例。经放射学检查发现为局限性腱鞘巨细胞瘤,并对再次切除的手术病变进行了组织学检查。这个罕见病例表明局限性腱鞘巨细胞瘤发生肺转移的可能性。