Giant cell tumor of the tendon sheath in a 5-year-old child; A case report

INTRODUCTIONand importance: Giant cell tumors of the tendon sheath in children have rarely been reported in the literature. This study aims to present a case of giant cell tumors of the tendon sheath on the big toe of a 5-year-old child. CASE PRESENTATIONA 5-year-old girl presented with a painless s...

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Published inAnnals of medicine and surgery (2012) Vol. 69; p. 102599
Main Authors Asaad, Saywan K, Bapir, Rawa, Salh, Abdulwahid M, Abdullah, Ari M, Tahir, Soran H, Mikael, Tomas M, Kakamad, Fahmi H, Hassan, Hunar A, Abdullah, Hiwa O, Mohammed, Shvan H
Format Report
LanguageEnglish
Published 01.09.2021
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Summary:INTRODUCTIONand importance: Giant cell tumors of the tendon sheath in children have rarely been reported in the literature. This study aims to present a case of giant cell tumors of the tendon sheath on the big toe of a 5-year-old child. CASE PRESENTATIONA 5-year-old girl presented with a painless swelling over the dorsal aspect of right big toe for 2 weeks. Physical examination revealed non-tender rubbery like swelling over the dorsal aspect of the right big toe. Ultrasound scan of the swelling showed a 17 × 7 mm oval-shaped subcutaneous hypoechoic lesion. Magnetic resonance imaging showed evidence of 20× 8 mm well-defined fusiform soft tissue lesion scalloping the bone. Under general anesthesia, the mass was totally excised. Microscopic sectioning showed a mixture of fibroblasts and histiocyte like cells associated with multinucleated giant cells in the vascular connective tissue stroma with the definite diagnosis of the giant cell tumor of the tendon sheath. DISCUSSIONThese tumors mostly compose of several types of cell like synovial, siderophages, foam, inflammatory and multinucleate giant cells. The major etiological factors that induce development of this tumor could be traumatic, inflammatory, metabolic or neoplastic disease. CONCLUSIONalthough it is a sporadic finding, giant cell tumors of the tendon sheath might affect the lower limb in children. Complete excision is the main modality of treatment.
Bibliography:ObjectType-Case Study-2
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ISSN:2049-0801
2049-0801
DOI:10.1016/j.amsu.2021.102599