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小儿患者拇指腱鞘外巨细胞瘤的关节内累及：一例报告

Intraarticular Involvement of Extraarticular Giant Cell Tumor of the Tendon Sheath in the Thumb of a Pediatric Patient: A Case Report.

作者信息

Makino Aiko, Saito Susumu, Taba Tsuyoshi

机构信息

Department of Plastic and Reconstructive Surgery, Graduate School of Medicine and Faculty of Medicine, Kyoto University, Kyoto, Japan.

Department of Orthopedic Surgery, Hamamatsu Rosai Hospital, Shizuoka, Japan.

出版信息

J Plast Reconstr Surg. 2024 Jul 5;4(1):46-49. doi: 10.53045/jprs.2024-0004. eCollection 2025 Jan 27.

DOI:10.53045/jprs.2024-0004
PMID:40160964
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11950566/
Abstract

Giant cell tumors of the tendon sheath (GCTTS) are locally invasive and have a high likelihood of recurrence in adults, but it is rare in children. Its potential to be invasive or recur has not been characterized. We present a 9-year-old patient with a dumbbell-shaped GCTTS that had small intraarticular and large extraarticular components with a narrow connection between them. This case suggests that GCTTS can be locally invasive in children. This case report could help hand surgeons who treat GCTTS in children.

摘要

腱鞘巨细胞瘤（GCTTS）具有局部侵袭性，在成人中复发可能性高，但在儿童中罕见。其侵袭或复发的可能性尚未明确。我们报告一例9岁哑铃形GCTTS患者，其关节内部分小，关节外部分大，两者之间连接狭窄。该病例提示GCTTS在儿童中也可具有局部侵袭性。本病例报告有助于治疗儿童GCTTS的手外科医生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28ce/11950566/e0dba0fab12d/jprs-04-01-0046-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28ce/11950566/63448112fefb/jprs-04-01-0046-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28ce/11950566/de174d7a0dd0/jprs-04-01-0046-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28ce/11950566/e0dba0fab12d/jprs-04-01-0046-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28ce/11950566/63448112fefb/jprs-04-01-0046-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28ce/11950566/de174d7a0dd0/jprs-04-01-0046-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28ce/11950566/e0dba0fab12d/jprs-04-01-0046-g003.jpg

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本文引用的文献

1
Giant Cell Tumor of Tendon Sheath: A Rare Peri-carpo-metacarpal Location Masquerading as a Recurrent Ganglion Cyst-a Diagnostic Conundrum.腱鞘巨细胞瘤：一种罕见的腕掌-掌骨周围部位，伪装成复发性腱鞘囊肿——一个诊断难题。
J Orthop Case Rep. 2022 Nov;12(11):83-86. doi: 10.13107/jocr.2022.v12.i11.3424.
2
Arthroscopic Excision of Localized Nodular Tenosynovitis of Carpometacarpal Joint of Thumb: A Case Report and Review of Literature.关节镜下切除拇指掌指关节局限性结节性腱鞘炎：1例报告并文献复习
J Wrist Surg. 2021 Mar 9;10(6):533-535. doi: 10.1055/s-0041-1725963. eCollection 2021 Dec.
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Giant cell tumor of the tendon sheath in a 5-year-old child; A case report.
一名5岁儿童的腱鞘巨细胞瘤；病例报告。
Ann Med Surg (Lond). 2021 Jul 26;69:102599. doi: 10.1016/j.amsu.2021.102599. eCollection 2021 Sep.
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Giant Cell Tumor of the Tendon Sheath in a Male Pediatric Patient.
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Tumorous conditions of the pediatric hand and wrist: Ten-year experience of a single center.小儿手部和腕部的肿瘤情况：单中心十年经验
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Risk Factors Associated With Postoperative Recurrence in Patients With Tenosynovial Giant Cell Tumor of the Hand: A Retrospective Cohort Study.手部腱鞘巨细胞瘤患者术后复发的相关危险因素：一项回顾性队列研究
Ann Plast Surg. 2019 Nov;83(5):523-528. doi: 10.1097/SAP.0000000000001983.
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Higher incidence rates than previously known in tenosynovial giant cell tumors.腱鞘巨细胞瘤的发病率高于此前所知。
Acta Orthop. 2017 Dec;88(6):688-694. doi: 10.1080/17453674.2017.1361126. Epub 2017 Aug 8.
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Tenosynovial Giant Cell Tumor: Incidence, Prevalence, Patient Characteristics, and Recurrence. A Registry-based Cohort Study in Denmark.腱鞘巨细胞瘤：发病率、患病率、患者特征和复发。丹麦基于登记的队列研究。
J Rheumatol. 2017 Oct;44(10):1476-1483. doi: 10.3899/jrheum.160816. Epub 2017 Aug 1.
9
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Imaging of giant cell tumour of the tendon sheath.腱鞘巨细胞瘤的影像学表现。
Radiol Med. 2010 Feb;115(1):141-51. doi: 10.1007/s11547-010-0515-2.