Sıra dışı bir lokalizasyonda tendon kılıfının dev hücreli tümörü

Öz

Tendon kılıfının dev hücreli tümörleri genellikle el bölgesinin palmar yüzeyinde yerleşen iyi huylu tümörlerdir. Diz ve ayak bileği gibi büyük eklemlerde nadiren görülürler. Çalışmamızda sağ ayak bileğindeki kitle ile ortopedi polikliniğine başvuran 18 yaşında bir erkek hasta sunuyoruz. Hastada radyolojik olarak ayırıcı tanı yapılamadı. Marjinal olarak çıkarılan lezyonun histopatolojik tanısı tendon kılıfının dev hücreli tümörü idi. On iki aylık takip süresinde hiçbir lokal nükse rastlanmadı.

Anahtar Kelimeler

• Ayak bileği; diz; tendon kılıfının dev hücreli tümörü.

Tenosynovial giant cell tumor in an unusual localization

Öz

Tenosynovial giant cell tumors are benign tumors that are often localized on the palmar sites of the hand. The involvement of large joints such as the knee and ankle are rare. We present an 18-year-old male patient referred to the orthopedics clinic with a mass on his right ankle. No differential diagnosis could be made radiologically. The marginally excised lesion was histopathologically diagnosed as a tenosynovial giant cell tumor. There was no local recurrence during a follow-up of 12 months.

Anahtar Kelimeler

• Ankle
• knee
• tenosynovial giant cell tumor

Kaynakça

1. Somerhausen NS, Fletcher CD. Diffuse-type giant cell tumor: clinicopathologic and immunohistochemical analysis of 50 cases with extraarticular disease. Am J Surg Pathol 2000;24:479-92.
2. Weiss SW, Goldblum JR. Enzinger and Weiss’s soft tissue tumors. 4th ed. St Louis, MO: Mosby; 2001. p. 1038-47. Caputo V, Fiorella S, Orlanda E. Postsurgical paracicatricial cutaneous satellitosis of giant cell tumour of the tendon sheath, localized type. Case Rep Dermatol 2011;3:118-23. Illian C, Kortmann HR, Künstler HO, Poll LW, Schofer M. Tenosynovial giant cell tumors as accidental findings after episodes of distortion of the ankle: two case reports. J Med Case Rep 2009;3:9331.
3. Yildiz S, Cetinkol E. Case report: Tenosynovial giant cell tumor arising from the knee joint. [Article in Turkish] Tani Girisim Radyol 2003;9:81-3.
4. Matthes G, Richter D, Ostermann PA, Friemann J, Ekkernkamp A. Benign tenosynovial giant cell tumor in the region of the upper ankle joint. A rare differential diagnosis of a soft tissue tumor of the foot. [Article in German] Unfallchirurg 2000;103:479-81.
5. Mahmood A, Caccamo DV, Morgan JK. Tenosynovial giant-cell tumor of the cervical spine. Case report. J Neurosurg 1992;77:952-5.
6. Gibbons CL, Khawaja HA, Cole AS, Cooke PH, Athanasou NA. Giant-cell tumour of the tendon sheath in the foot and ankle. J Bone Joint Surg Br 2002;84:1000-3.
7. Ozdemir HM, Yildiz Y, Yilmaz C, Saglik Y. Tumours of the foot and ankle: analysis of 196 cases. J Foot Ankle Surg 1997;36:403-8.
8. Vasconez HC, Nisanci M, Lee EY. Giant cell tumour of the flexor tendon sheath of the foot. J Plast Reconstr Aesthet Surg 2008;61:815-8.

9. Cotten A, Flipo RM, Chastanet P, Desvigne-Noulet MC, Duguesnoy B, Delcambre B. Pigmented villonodular synovitis of the hip: review of radiographic features in 58 patients. Skeletal Radiol 1995;24:1-6.
10. Chou LB, Ho YY, Malawer MM. Tumors of the foot and ankle: experience with 153 cases. Foot Ankle Int 2009;30: 836Labs K, Perka C, Guski H. Diagnosis and therapy of nodular tenosynovitis of the tendon sheath - case presentation. [Article in German] Z Rheumatol 2002;61:300-5.
11. Wan JMC, Magarelli N, Peh WC, Guglielmi G, Shek TW. Imaging of giant cell tumour of the tendon sheath. Radiol Med 2010;115:141-51.
12. Al-Qattan MM. Giant cell tumors of tendon sheath: classification and recurrence rate. J Hand Surg Br 2001;26:72-5. Martin RC 2nd, Osborne DL, Edwards MJ, Wrightson W, McMasters KM. Giant cell tumor of tendon sheath, tenosynovial giant cell tumor, and pigmented villonodular synovitis: defining the presentation, surgical therapy and recurrence. Oncol Rep 2000;7:413-9.
13. Segler CP. Irradiation as adjunctive treatment of diffuse pigmented villonodular synovitis of the foot and ankle prior to tumor surgical excision. Med Hypotheses 2003;61:229-30.