ELDE KİTLE OLGULARINA YAKLAŞIMDA TENDON KILIFI DEV HÜCRELİ TÜMÖRÜN PREOPERATİF ÖN TANI SIKLIĞI VE NÜKSE ETKİSİ The Effect of Tendon Sheath Giant Cell Tumor on Preoperative Pre-Diagnosis and Recurrence in the Management of Hand Mass

Yıl 2020, Cilt: 10 Sayı: 1, 63 - 67, 25.03.2020

Kaan Gürbüz Yakup Ekinci Sabri Batın Alper Çıraklı

Öz

ÖZET
Amaç: Bu çalışmada, elde kitle tanısıyla ameliyat edilen ve patolojik tanısı tendon kılıfı dev hücreli tümör
(TKDHT) olarak rapor edilen olguların ön tanı ile uyumu ve ön tanının nükse etkisinin değerlendirilmesi
amaçlandı.
Gereç ve Yöntemler: Ocak 2013 ile Aralık 2015 tarihleri arasında cerrahi olarak eksize edilen ve patoloji
sonucu TKDHT gelen 58 olgu retrospektif olarak incelendi. Hastane kayıt sistemi ve hasta dosyaları taranarak
veriler kaydedildi. Olgular yaş, cinsiyet, yön, lokalizasyon, ön tanı, patolojik hacim, takip süresi ve nüks açısından
değerlendirildi. Elde edilen veriler istatistiksel olarak incelendi.
Bulgular: Olguların kadın/erkek oranı 3/2; yaş ortalaması 44.81±18.14 yıl ve ortalama takip süresi 44.1±9.65
ay idi. 31 sağ ve 27 sol yerleşimli olan kitlelerin neredeyse tamamı fleksör yüzde lokalize idi. Kitlelerin patolojik
hacmi ortalama 2.09±0,89 cm3 (0.08-12) iken nüks saptanan 5 olgunun (%8.62) kitle patolojik hacmi
ise ortalama 2.46 cm3 (0.08-5.15) idi. Preoperatif ön tanısı bilinen olguların ancak %44,4’ünde patolojik tanı
TKDHT idi.
Sonuç: El lokalizasyonlu kitle cerrahisinin, basit bir işlem olarak görülmesi sebebiyle preoperatif ön hazırlıkları
çoğu zaman özensiz yapılmaktadır. Kitle ön tanısının klinik muayene ile sınırlandırılmayarak, tetkiklerden
faydalanılmasının nüks oranlarını azaltacağı kanısındayız.
Anahtar Kelimeler: Dev hücreli tümör; Yumuşak doku; Tendon kılıfı; Cerrahi; Nüks
ABSTRACT
Objective: The purpose of this study was to evaluate the diagnosis, compliance with the pre-diagnosis, and
the effect of the pre-diagnosis recurrence of tendon sheath giant cell tumor (TSGCT) cases operated for
hand mass.
Materials and Methods: Fifty-eight patients who underwent surgical excision between January 2013 and
December 2015 and TSGCT as a result of pathology were evaluated retrospectively. Hospital record system
and patient files were scanned and the data were recorded. The cases were evaluated in regarding as age,
sex, side, localization, pre-diagnosis, pathological volume, follow-up time and recurrence. The data obtained
were analyzed statistically.
Results: Female to male ratio was 3/2; the mean age of the patients was 44.81 ± 18.14 years and the mean
follow-up was 44.1 ± 9.65 months. Almost all of the masses located at right hand in 31 cases. The mean
pathologic volume of the masses was 2.09 ± 0.89 cm3 (0.08-12), whereas the mean mass pathology volume
of the recurrent 5 cases (8.62%) was 2.46 cm3 (0.08-5.15). Only 44.4% of the patients with known preoperative
diagnosis were TSGCT.
Conclusion: Preoperative preparation of hand localized mass surgery is often sloppy because it is seen as a
simple procedure. We suggest that preoperative clinical examination should be supported by radiological
examination in order to reduce recurrence rates.
Keywords: Giant cell tumour; Soft tissue; Tendon sheath; Surgical treatment; Recurrence

Anahtar Kelimeler

ELDE KİTLE OLGULARINA YAKLAŞIMDA TENDON KILIFI DEV HÜCRELİ TÜMÖRÜN PREOPERATİF ÖN TANI SIKLIĞI VE NÜKSE ETKİSİ The Effect of Tendon Sheath Giant Cell Tumor on Preoperative Pre-Diagnosis and Recurrence in the Management of Hand Mass

Kaynakça

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