Moore J R, Weiland A J, Curtis R M
J Hand Surg Am. 1984 May;9(3):412-7. doi: 10.1016/s0363-5023(84)80233-6.
One hundred fifteen cases of localized nodular synovitis (giant cell tumor of the tendon sheath) were reviewed. The optimal treatment for these lesions is unknown, and a high recurrence rate exists. Growths arose from most of the synovial sites of the hand, including joints, capsular ligaments, and tendon sheaths. Deformation of the bone surface was commonly seen; however, bone invasion was uncommon. The histologic features may vary, but the lesions are always benign and do not metastasize. Treatment consisted of thorough local excision and adjacent joint exploration when appropriate. Recurrence occurred in 10 cases (9%) with one to five additional surgical procedures needed to eradicate the lesion.
回顾了115例局限性结节性滑膜炎（腱鞘巨细胞瘤）。这些病变的最佳治疗方法尚不清楚，且复发率较高。肿瘤发生于手部的大多数滑膜部位，包括关节、关节囊韧带和腱鞘。常见骨表面变形，但骨侵袭并不常见。组织学特征可能有所不同，但病变始终为良性，不会发生转移。治疗包括彻底的局部切除，并在适当时对相邻关节进行探查。10例（9%）出现复发，需要额外进行一至五次手术以根除病变。
