El ve El Bileği Yerleşimli Tendon Kılıfının Dev Hücreli Tümörü: 42 Hastanın Retrospektif Analizi

Yıl 2019, Cilt: 45 Sayı: 1, 105 - 109, 01.04.2019

Sercan Çapkın Tufan Kaleli

https://doi.org/10.32708/uutfd.491010

Öz

Tendon kılıfının dev hücreli tümörü (TKDHT),
ganglion kistinden sonra elde en sık görülen benign yumuşak doku tümörüdür.
Çalışmamızda el ve el bileği yerleşimli TKDHT nedeniyle ameliyat edilen 42
hastanın demografik, klinik, radyolojik ve histopatolojik özellikleri ile
cerrahi sonrası nüks oranları güncel literatür eşliğinde tartışıldı.
Çalışmamızda; kadın/erkek oranı: 2.5/1, ortalama yaş 40.23±14.86, hastaların
%64.28’ inde tümör volar bölgeye lokalize, 
elde en sık lokalizasyon başparmak (%33.3), parmaklarda ise en sık
lokalizasyon proksimal falanks (%35,71) olup, bulgular literatür verileriyle
uyumluydu. Serimizde şikayetin başlangıcından cerrahiye kadar geçen ortalama
zaman 5.4 ay olarak bulundu. Nüks gelişen 2 hastada (%4.76) tümör volar
bölgeden başlayıp dorsal bölgeye doğru uzanmaktaydı ve muhtemel nüks nedeni
geride satellit lezyon kalmasıydı. Sonuç olarak TKDHT benign karakterine rağmen
lokal agresif bir tümördür. Nüks oranlarını azaltmak için büyütücü gözlük
altında, geniş bir cerrahi sahada, titiz bir cerrahi uygulanmalı, özellikle hem
volar hem de dorsal bölgeye lokalize olan tümörlerde geride satellit lezyon
bırakmamak için ayrı insizyonlar kullanılması akılda bulundurulmalıdır.

Anahtar Kelimeler

Tendon kılıfı, Dev hücreli tümör

Giant Cell Tumour of the Tendon Sheath of the Hand and Wrist: Retrospective Analysis of 42 Patients

Öz

Giant cell tumour of the tendon sheath (GCTTS)
is the second most common benign soft tissue tumour of the hand after the
ganglion cyst. In our study, demographic, clinical, radiological and
histopathological features and recurrence rates of 42 patients who had been
operated for hand and wrist located GCTTS were discussed with the current
literature. In our study; female/male ratio: 2.5/1, average age 40.23±14.86,
64.28% of patients localized to the tumour volar side, the most common
localization thumb (33.3%) in the hand, the most common localization of the
proximal phalanx in the fingers (35.71%), findings were consistent with
literature data. In our series, the average time from the beginning of the
complaint to surgery was found to be 5.4 months. In 2 patients (4.76%) who
developed recurrence, the tumours started from the volar side was reaching to
the dorsal side, and the reason for the possible recurrence was the remaining
satellite lesions. As a result, GCTTS is a locally aggressive tumour despite
its bening character. To reduce the recurrence rate, a meticulous surgery
should be performed under magnifying loupe, in a large surgical area,
especially in tumours that are localized to both the volar and dorsal sides,
and separate incisions should be considered in order not to leaving behind
satellite lesions.

Anahtar Kelimeler

Tendon sheath, Giant cell tumour

Kaynakça

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