Jerome J Terrence Jose, Sofia Loganathan Rajesh, Santhi Natesan
Department of Orthopedics, Hand and Reconstructive Microsurgery, Olympia Hospital and Research Centre, 47, 47A Puthur High Road, Puthur, Trichy, Tamilnadu 620017 India.
Regional Cancer Center, Thanjavur, India.
Indian J Orthop. 2022 Jun 13;56(8):1469-1473. doi: 10.1007/s43465-022-00665-w. eCollection 2022 Aug.
Tenosynovial giant cell tumors (TGCT) are benign intra-articular and soft-tissue tumors. However, they are known for recurrence in incomplete excisions and tumors adjacent to the distal joints and neurovascular structures in hand. With poor knowledge of intrinsic biology behind these clonal neoplastic tumors, wide excision and three-dimensional conformal adjuvant radiotherapy to the tumor bed significantly prevent a recurrence. We report a recurrent TGCT of the thumb around the interphalangeal joint in a 54-year-old man treated with wide excision and adjuvant three-dimensional conformal radiation therapy (3DCRT). There was no recurrence, and the patient had excellent functional outcomes at 3 years of follow-up.
The online version contains supplementary material available at 10.1007/s43465-022-00665-w.
腱鞘巨细胞瘤(TGCT)是一种良性关节内及软组织肿瘤。然而,它们以不完全切除后复发以及手部远端关节和神经血管结构附近的肿瘤而闻名。由于对这些克隆性肿瘤背后的内在生物学了解不足,对肿瘤床进行广泛切除和三维适形辅助放疗可显著预防复发。我们报告了一名54岁男性拇指指间关节周围复发性TGCT,采用广泛切除和辅助三维适形放射治疗(3DCRT)进行治疗。没有复发,患者在3年随访时功能结果良好。
在线版本包含可在10.1007/s43465-022-00665-w获取的补充材料。