How do you get rid of a giant cell tumor of the tendon sheath?

How do you get rid of a giant cell tumor of the tendon sheath?

Often, partial excision of the joint capsule or tendon sheath is necessary for complete removal of the tumor. Meticulous dissection and exploration are essential because satellite lesions are common.

How do you get rid of a giant cell tumor?

How is a giant cell tumor treated?

1. Surgery to remove the tumor and any damaged bone.
2. Bone grafting.
3. Bone reconstruction.
4. Physical therapy to regain strength and mobility.
5. Amputation, in severe cases.

How fast does giant cell tumor of tendon sheath grow?

Giant cell tumor of the tendon sheath (GCTTS) is the second most common tumor of the hand after ganglion cysts (1,2). It is a slowly growing, usually painless benign lesion of soft tissues. The tumor affects individuals between the age of 30 and 50 years old and is found more often in women than men (3–6).

How do you treat TGCT?

TGCT is typically treated with synovectomy, removing the involved area of the lining. There is no consensus on the optimal synovectomy technique, whether arthroscopic or open surgery. Synovectomy involves the complete removal of the affected synovium (the membrane lining the inside of a joint).

Is giant cell tumor of tendon sheath malignant?

Conclusions: Malignant giant cell tumor of tendon sheath is an extremely rare malignant tumor, some cases have a poor outcome, the others, despite the histologically malignant features, have a good prognosis if wide surgical excision ablates the tumor completely.

How common is giant cell tumor of tendon sheath?

Giant cell tumor of tendon sheath (GCTTS) is the second most common tumor of the hand, typically presenting in the third to fourth decade of life (1).

What is giant cell tumor of tendon sheath?

Giant cell tumor of tendon sheath (GCTTS) is the second most common tumor of the hand, typically presenting in the third to fourth decade of life (1). Also known as localized nodular tenosynovitis, GCTTS is characterized by diffuse presence of multinucleated giant cells and proliferation of synovial-like cells (2).

Can a giant cell tumor return?

Giant cell tumors can come back. Follow-up with your healthcare provider may be required for several years.

Can a giant cell tumors return?

Can a giant cell tumor be cancerous?

Although giant cell tumors are not cancerous, they are aggressive and can destroy the surrounding bone. Treatment for a giant cell tumor almost always involves surgery to remove the tumor and prevent damage to the bone near the affected joint.

Can giant cell tumors be malignant?

Primary and recurrent giant cell tumor of bone is typically benign; however, rarely giant cell tumor of bone can undergo malignant transformation.

Is giant cell tumor fatal?

Giant Cell tumors (GCT) are benign tumors with potential for aggressive behavior and capacity to metastasize. Although rarely lethal, benign bone tumors may be associated with a substantial disturbance of the local bony architecture that can be particularly troublesome in peri-articular locations.

Is there a giant cell tumor of the tendon sheath?

Giant cell tumor of tendon sheath is also named tenosynovial giant cell tumor. GCT of tendon sheath is a circumscribed tumor that does not always arise from the tendon sheath but may arise from the synovium. Most common in patients after 30 years old and it is the second most common benign hand tumor after a ganglion cyst.

Which is the best treatment for giant cell tumor?

Marginal excision of giant cell tumor (GCT) of the tendon sheath (see the images below) has typically been the treatment of choice; systemic pharmacotherapy (pexidartinib) is now available (see Medical Therapy ).

Can a tumor of the tendon sheath be surgically removed?

Surgical Therapy. Marginal excision of giant cell tumor of the tendon sheath is the treatment of choice (see the images below). A patient’s poor medical health and the presence of life-threatening illnesses are contraindications to the surgical resection of these tumors.

Are there giant cell tumors in the knee?

Localized forms of giant cell tumors are defined as giant cell tumors of the tendon sheath (GCTTS). GCTTS arises from the synovium of a joint, bursa or tendon sheath, and 85% of the tumors occur in the fingers. GCTTS in the knee is extremely rare.