CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2019; 54(01): 026-032
DOI: 10.1016/j.rbo.2017.11.005
Original Article | Artigo Original
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda Rio de Janeiro, Brazil

Retrospective Study of the Results of Surgical Treatment of 31 Giant Cell Tumors of the Tendon Sheath in the Hand[*]

Article in several languages: português | English
José Antonio Galbiatti
1  Faculdade de Medicina de Marília, Marília, SP, Brasil
,
1  Faculdade de Medicina de Marília, Marília, SP, Brasil
,
Luís Felipe Haber Figueiredo e Silva
1  Faculdade de Medicina de Marília, Marília, SP, Brasil
,
Diego dos Santos Santiago
2  Irmandade da Santa Casa de Misericórdia de Marília, Marília, SP, Brasil
,
José Cassimiro da Silva Neto
2  Irmandade da Santa Casa de Misericórdia de Marília, Marília, SP, Brasil
,
Sérgio de Oliveira Bruno Belluci
2  Irmandade da Santa Casa de Misericórdia de Marília, Marília, SP, Brasil
› Author Affiliations
Further Information

Publication History

16 September 2017

23 November 2017

Publication Date:
01 March 2019 (online)

Abstract

Objective

To evaluate the results of the treatment of 31 giant-cell tumors of the tendon sheath of the hand cared for between 2006 and 2015.

Methods

A group of patients for the present retrospective evaluation was defined, covering the period between February 2006 and November 2015, in which 31 records of patients who underwent surgery due to cell tumor of the tendon sheath of the fingers were studied and evaluated. The recommended treatment was complete excision of the tumor with preservation of the adjacent structures. The diagnosis was confirmed by pathological examination. The progress of the treatment after surgery was evaluated, especially regarding the rate of tumor recurrence.

Results

Taking all 31 patients into consideration, there was a predominance of the female gender and white ethnicity. Most of these patients were aged between 30 and 50 years. The most affected side was the left one, and most tumors were in the flexor face. There was a predominance of the radial fingers, along with their distal end. A total of 27 patients are being followed up at regular intervals at an outpatient clinic, and three cases of tumor recurrence have been identified.

Conclusion

An appropriate surgical technique is essential in order to prevent GCTTS recurrences. The results obtained in this research are in agreement with the literature.

* Work developed at the Department of Orthopedics and Traumatology, Irmandade da Santa Casa de Misericórdia de Marília, Marília, SP, Brazil.