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右手小指屈肌腱鞘多灶性巨细胞瘤1例罕见病例。

A Rare Case of Multifocal Giant Cell Tumor of the Right Hand Little Finger Flexor Tendon Sheath.

作者信息

Ling Jason Yew Hung, Sem Sei Haw

机构信息

Orthopedics and Traumatology, Hospital Universiti Kebangsaan Malaysia, Kuala Lumpur, MYS.

Orthopedics, Hospital Kuala Lumpur, Kuala Lumpur, MYS.

出版信息

Cureus. 2025 Jun 15;17(6):e86094. doi: 10.7759/cureus.86094. eCollection 2025 Jun.

DOI:10.7759/cureus.86094
PMID:40677451
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12267620/
Abstract

Giant cell tumor of the tendon sheath (GCTTS) or nodular tenosynovitis arises from a discrete solitary nodule in the tendon sheath of finger joints. Multifocal GCTTS is a rare entity, whereby its etiology is not fully understood and is different from the diffuse type of GCTTS. We report a case of multifocal GCTTS along the tendon sheath of the flexor digitorum profundus of the little finger. Surgical excision was done with no signs of recurrence upon one-year follow-up.

摘要

腱鞘巨细胞瘤（GCTTS）或结节性腱鞘炎起源于手指关节腱鞘内的单个离散结节。多灶性GCTTS是一种罕见的疾病，其病因尚未完全明确，且与弥漫型GCTTS不同。我们报告一例发生于小指指深屈肌腱腱鞘的多灶性GCTTS病例。患者接受了手术切除，随访一年无复发迹象。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f82b/12267620/87a603cb3ace/cureus-0017-00000086094-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f82b/12267620/1346ea6a56b1/cureus-0017-00000086094-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f82b/12267620/c4d7ec954998/cureus-0017-00000086094-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f82b/12267620/ff173bfabe95/cureus-0017-00000086094-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f82b/12267620/6873027f46cd/cureus-0017-00000086094-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f82b/12267620/6df83a9efad4/cureus-0017-00000086094-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f82b/12267620/144e1803688b/cureus-0017-00000086094-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f82b/12267620/87a603cb3ace/cureus-0017-00000086094-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f82b/12267620/1346ea6a56b1/cureus-0017-00000086094-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f82b/12267620/c4d7ec954998/cureus-0017-00000086094-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f82b/12267620/ff173bfabe95/cureus-0017-00000086094-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f82b/12267620/6873027f46cd/cureus-0017-00000086094-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f82b/12267620/6df83a9efad4/cureus-0017-00000086094-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f82b/12267620/144e1803688b/cureus-0017-00000086094-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f82b/12267620/87a603cb3ace/cureus-0017-00000086094-i07.jpg

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本文引用的文献

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Pigmented Villonodular Synovitis: A Critical Review.色素沉着绒毛结节性滑膜炎：批判性综述
Kans J Med. 2024 Sep 5;17(5):113-118. doi: 10.17161/kjm.vol17.21831. eCollection 2024 Sep-Oct.
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Giant Cell Tumor of Tendon Sheath in the Hand and Wrist.手部及腕部腱鞘巨细胞瘤
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Soft Tissue Masses of the Hand: A Review of Clinical Presentation and Imaging Features.手部软组织肿块：临床特征与影像学表现综述。
Curr Oncol. 2023 Feb 7;30(2):2032-2048. doi: 10.3390/curroncol30020158.
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Tenosynovial giant cell tumor.腱鞘巨细胞瘤。
Folia Med Cracov. 2022;62(2):93-107. doi: 10.24425/fmc.2022.141702.
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A Multifocal Recurrent Large Giant Cell Tumor of the Tendon Sheath of Flexor Tendon: A Rare Case in the Hand of 22-year-old Female.屈肌腱腱鞘多灶性复发性巨大巨细胞瘤：一名22岁女性手部的罕见病例
J Orthop Case Rep. 2020 Aug-Sep;10(5):34-36. doi: 10.13107/jocr.2020.v10.i05.1828.
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Giant cell tumor of tendon sheath in the hand: analysis of risk factors for recurrence in 50 cases.手部腱鞘巨细胞瘤：50 例复发危险因素分析。
BMC Musculoskelet Disord. 2019 Oct 21;20(1):457. doi: 10.1186/s12891-019-2866-8.
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Multiple Giant Cell Tumors of Tendon Sheath Found within a Single Digit of a 9-Year-Old.在一名9岁儿童的单指内发现多个腱鞘巨细胞瘤。
Case Rep Orthop. 2016;2016:1834740. doi: 10.1155/2016/1834740. Epub 2016 Aug 10.
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Radiation therapy for infiltrative giant cell tumor of the tendon sheath.腱鞘浸润性巨细胞瘤的放射治疗
J Hand Surg Am. 2012 Apr;37(4):775-82. doi: 10.1016/j.jhsa.2012.01.011. Epub 2012 Mar 2.
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