Giant cell tumor of the tendon sheath is the second most common tumor of the hand often referred to as xanthoma. Histologically these tumors are composed of multinucleated giant cells, polyhedral histiocytes, fibrosis and hemosiderin deposits. Marginal excision of giant cell tumor of the tendon sheath is the treatment of choice. We present a case of xanthoma of flexor pollicis longus tendon presented as a single enlarging mass in volar aspect of left thumb. After clinical diagnosis, work-up is done with ultrasound, FNAC and excision biopsy.
Al-Qattan, M.M. (2001) Giant Cell Tumours of Tendon Sheath: Classification and Recurrence Rate. Journal of Hand Surgery (British Volume), 26, 72-75. http://dx.doi.org/10.1054/jhsb.2000.0522
[3]
Reilly, K.E., Stern, P.J. and Dale, J.A. (1999) Recurrent Giant Cell Tumors of the Tendon Sheath. Journal of Hand Surgery, 24, 1298-1302. http://dx.doi.org/10.1053/jhsu.1999.1298
[4]
Kotwal, P.P., Gupta, V. and Malhotra, R. (2000) Giant Cell Tumour of the Tendon Sheath. Is Radiotherapy Indicated to Prevent Recurrence after Surgery? The Bone & Joint Journal, 82, 571-573. http://dx.doi.org/10.1302/0301-620X.82B4.10328
[5]
Rao, A.S. and Vigorita, V.J. (1984) Pigmented Villonodular Synovitis (Giant-Cell Tumor of the Tendon Sheath and Synovial Membrane): A Review of 81 Cases. The Journal of Bone & Joint Surgery, 66, 76-94.
[6]
Choudhury, M., Jain, R. and Nangia, A. (2000) Localized Tenosynovial Giant Cell Tumor of Tendon Sheath. A Case Report. Acta Cytologica, 44, 463-466. http://dx.doi.org/10.1159/000328500
[7]
Ciattaglia, G., Filosa, G. and Bugatti, L. (1991) Giant Cell Tumor of Tendon Sheath. Journal of the American Academy of Dermatology, 25,728-729. http://dx.doi.org/10.1016/S0190-9622(08)80680-9
[8]
Suresh, S.S. and Zaki, H. (2010) Giant Cell Tumor of Tendon Sheath: Case Series and Review of Literature. Journal of Hand and Microsurgery, 2, 67-71. http://dx.doi.org/10.1007/s12593-010-0020-9
[9]
Garg, B. and Kotwal, P.P. (2011) Giant Cell Tumour of the Tendon Sheath of the Hand. Journal of Orthopaedic Surgery (Hong Kong), 19, 218-220.
[10]
Agarwal, P.K., Gupta, M. and Srivastava, A. (1997) Cytomorphology of Giant Cell Tumor of Tendon Sheath. A Report of Two Cases. Acta Cytologica, 41, 587-589. http://dx.doi.org/10.1159/000332562
[11]
Iyer, V.K., Kapila, K. and Verma, K. (2003) Fine-Needle Aspiration Cytology of Giant Cell Tumor of Tendon Sheath. Diagnostic Cytopathology, 29, 105-110. http://dx.doi.org/10.1002/dc.10319
[12]
Phalen, G.S., McCormack, L.J. and Gazale, W.J. (1959) Giant-Cell Tumor of Tendon Sheath (Benign Synovioma) in the Hand. Evaluation of 56 Cases. Clinical Orthopaedics, 15, 140-151.
[13]
Moore, J.R., Weiland, A.J. and Curtis, R.M. (1984) Localized Nodular Tenosynovitis: Experience with 115 Cases. The Journal of Hand Surgery, 9, 412-417. http://dx.doi.org/10.1016/S0363-5023(84)80233-6
[14]
Wright, C.J.E. (1951) Benign Giant-Cell Synovioma: An Investigation of 85 Cases. British Journal of Surgery, 38, 257-271. http://dx.doi.org/10.1002/bjs.18003815102
[15]
Goda, J.S., Patil, P., Krishnappan, C. and Elangovan, D. (2009) Giant Cell Tumor of the Tendon Sheath Treated by Brachytherapy (Surface Mold) Technique-A Technical Illustration. Brachytherapy, 8, 79-83.
[16]
Rodrigues, C., Desai, S. and Chinoy, R. (1998) Giant Cell Tumor of the Tendon Sheath: A Retrospective Study of 28 Cases. Journal of Surgical Oncology, 68, 100-103. http://dx.doi.org/10.1002/(SICI)1096-9098(199806)68:2<100::AID-JSO5>3.0.CO;2-A
[17]
Darwish, F.M. and Haddad, W.H. (2008) Giant Cell Tumour of Tendon Sheath: Experience with 52 Cases. Singapore Medical Journal, 49, 879-882.
[18]
Messoudi, A., Fnini, S., Labsaili, N., Ghrib, S., Rafai, M. and Largab, A. (2007) Giant Cell Tumors of the Tendon Sheath of the Hand: 32 Cases. Chirurgie de la Main, 26, 165-169. http://dx.doi.org/10.1016/j.main.2007.03.008
