Back
 JBM  Vol.7 No.7 , July 2019
Localized Giant Cell Tumor of the Tendon Sheath: A Rare Case of Anterior Knee Pain
Abstract: This report describes a 61-year-old female with a giant cell tumor of the tendon sheath (GCT-TS). MRI showed that an elliptical abnormal signal was observed over the infrapatellar region of the right knee. We directly do arthroscopy to remove the tumor. An oval irregular mass of about 2.0 cm × 1.5 cm × 1 cm in the right knee joint was found. It was hard and had a dark red surface and the pedicle of the mass was connected with the joint capsule and infrapatellar fat pad. Nodular GCT-TS occurs less frequently in large joints than the small joints of the fingers and toes. The current report demonstrates the unique characteristics of the GCT-TS that extends around the ankle and invades the knee and proximal humerus.
Cite this paper: Cui, B. , Gurung, K. , He, Y. , Song, G. and Jin, L. (2019) Localized Giant Cell Tumor of the Tendon Sheath: A Rare Case of Anterior Knee Pain. Journal of Biosciences and Medicines, 7, 16-21. doi: 10.4236/jbm.2019.77002.
References

[1]   Jaffe, H.L., Lichtenstein, L. and Sutro, C.J. (1941) Pigmented Villonodular Synovitis, Bursitis and Tenosynovitis. Archives of Pathology, 31, 731-765.

[2]   Gouin, F. and Noailles, T. (2017) Localized and Diffuse Forms of Tenosynovial Giant Cell Tumor (Formerly Giant Cell Tumor of the Tendon Sheath and Pigmented Villonodular Synovitis). Orthopaedics & Traumatology: Surgery & Research, 103, S91-S97.
https://doi.org/10.1016/j.otsr.2016.11.002

[3]   Weiss, S.W. and Goldblum, J.R. (2007) Benign Tumors and Tumor-Like Lesions of Synovial Tissues. In: Enzinger and Weiss’s Soft Tissue Tumors, 5th Edition, Mosby, St Louis, MO, 769-788.

[4]   Relwani, J., Factor, D., Khan, F. and Dutta, A. (2003) Giant Cell Tumor of the Patellar Tendon Sheath—An Unusual Cause of Anterior Knee Pain: A Case Report. The Knee, 10, 145-148.
https://doi.org/10.1016/S0968-0160(02)00058-3

[5]   Sun, C., Sheng, W., Yu, H. and Han, J. (2012) Giant Cell Tumor of the Tendon Sheath: A Rare Case in the Left Knee of a 15-Year-Old Boy. Oncology Letters, 3, 718-720.
https://doi.org/10.3892/ol.2012.555

[6]   Lucas, D.R. (2012) Tenosynovial Giant Cell Tumor: Case Report and Review. Archives of Pathology & Laboratory Medicine, 136, 901-906.
https://doi.org/10.5858/arpa.2012-0165-CR

[7]   Dines, J.S., De Berardino, T.M., Wells, J.L., Dodson, C.C., Shindle, M., Di Carlo, E.F., et al. (2007) Long-Term Follow-Up of Surgically Treated Localized Pigmented Villonodular Synovitis of the Knee. Arthroscopy, 23, 930-937.
https://doi.org/10.1016/j.arthro.2007.03.012

[8]   Mollon, B., Lee, A., Busse, J.W., Griffin, A.M., Ferguson, P.C., Wunder, J.S., et al. (2015) The Effect of Surgical Synovectomy and Radiotherapy on the Rate of Recurrence of Pigmented Villonodular Synovitis of the Knee. An Individual Patient Meta-Analysis. The Bone & Joint Journal, 97, 550-557.
https://doi.org/10.1302/0301-620X.97B4.34907

[9]   Kılıçaslan, Ö.F., Katı, Y.A., Kose, O., Erol, B. and Sezgin Alikanoglu, A. (2017) Giant Cell Tumor of the Patellar Tendon Sheath: A Rare Case of Anterior Knee Pain. Cureus, 9, e1690.
https://doi.org/10.7759/cureus.1690

[10]   Cassier, P., Gelderblom, H., Stacchiotti, S., Thomas, D., Maki, R., Kroep, J., et al. (2012) Efficacy of Imatinib Mesylate for the Treatment of Locally Advanced and/or Metastatic Tenosynovial Giant Cell Tumor/Pigmented Villonodular Synovitis. Cancer, 15, 1649-1656.
https://doi.org/10.1002/cncr.26409

[11]   Cassier, P., Italiano, A., Gomez-Roca, C.A., Le Tourneau, C., Toulmonde, M., Cannarile, M.A., et al. (2015) CSF1R Inhibition with Emactuzumab in Locally Advanced Diffuse-Type Tenosynovial Giant Cell Tumors of the Soft-Tissue: A Dose-Escalation and Dose-Expansion Phase 1 Study. The Lancet Oncology, 16, 949-956.
https://doi.org/10.1016/S1470-2045(15)00132-1

 
 
Top