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右足第三趾滑膜囊巨细胞瘤:一例报告

Giant Cell Tumor of the Synovial Pod of the Third Toe on the Right Foot: Report of a Case.

作者信息

Grimaldi-Valencia Carlos Enrique, Celis-Ochoa Alberto, Ramírez-García José Juan, Flores-Vargas Gilberto, Padilla-Raygoza Nicolás

机构信息

Resident of Orthopedics and Traumatology, Hospital General León, Institute of Public Health from Guanajuato State, Guanajuato, México.

Service of Orthopedics and Traumatology, Hospital General León, Institute of Public Health from Guanajuato State, Guanajuato, México.

出版信息

Clin Med Insights Case Rep. 2024 Oct 13;17:11795476241266100. doi: 10.1177/11795476241266100. eCollection 2024.

Abstract

BACKGROUND

The giant cell tumor of the tendon pod is a benign neoplasia that can be present in any bone or tendon pod. Its etiology is unknown. Nevertheless, it is related to a chronic inflammatory process. It usually occurs in women between the third and fifth decade as a palpable and painless mass and slow growth, although it can be deformed and lead to limb loss.

CASE PRESENTATION

In this report, we present the case of an 11-year-old male patient, which began on June 21, 2020, with a blunt trauma. An ultrasound was performed, reporting compatible data with synovial sarcoma. Magnetic resonance was requested, with mass evidence in soft tissues in central and planting portions. A surgical procedure with a split and biopsy of the mass was carried out. The specimen was sent to the Pathology Department, leading to a diagnosis of a giant cell tumor of the tendon pod.

CONCLUSIONS

The giant cell tumor of the tendon pod is rare. However, in some cases, it is crucial to consider it as a differential diagnosis. The surgical management of this entity has proven to reduce recurrence rates.

摘要

背景

腱鞘巨细胞瘤是一种可出现在任何骨骼或腱鞘的良性肿瘤。其病因不明。然而,它与慢性炎症过程有关。它通常发生在30至50岁的女性中,表现为可触及的无痛肿块且生长缓慢,尽管它可能会变形并导致肢体缺失。

病例介绍

在本报告中,我们呈现了一名11岁男性患者的病例,该病例始于2020年6月21日,因钝器外伤所致。进行了超声检查,报告的数据与滑膜肉瘤相符。随后进行了磁共振检查,发现中央和种植部位的软组织中有肿块迹象。对肿块进行了切开活检的手术操作。标本被送往病理科,最终诊断为腱鞘巨细胞瘤。

结论

腱鞘巨细胞瘤较为罕见。然而,在某些情况下,将其作为鉴别诊断至关重要。已证明对该实体进行手术治疗可降低复发率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7423/11475377/94b0d3d55773/10.1177_11795476241266100-fig1.jpg

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