Case Report: Open Resection of Giant Tendon Sheath Giant Cell Tumor around the Ankle

Mei Li, Z. Zha
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Abstract

Background:Tendon sheath giant cell tumor(GCT-TS) is an extremely rare tumor with highly nonspecific symptoms. It usually originates in the tendon sheath and periarticular soft tissue of the facet joint. Rarely involve the large joints that occur around the knees, ankles, elbows, and hip joints. The benign but aggressive disease progresses slowly. However, it can eventually lead to irreversible damage to the joint. Cace presensent: we briefly describe a misdiagnosed case of a giant cell tumor of the unilateral tendon sheath of the ankle joint. A 77-year-old man developed swelling in his ankle, which though mild, affected his walking gait and quality of life. At present, Conclusion:giant cell tumor of tendon sheath of ankle joint is very rare, and its clinical manifestations are not obvious, and it is often easy to be wrongly diagnosed. MRI is the best examination method to determine the scope of soft tissue destruction, and pathological examination is the most important means to diagnose giant cell tumor of tendon sheath at present.
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病例报告:开放性切除踝关节周围巨大腱鞘巨细胞瘤
背景:腱鞘巨细胞瘤(GCT-TS)是一种非常罕见的肿瘤,具有高度非特异性的症状。它通常起源于小关节的肌腱鞘和关节周围软组织。很少发生在膝关节、踝关节、肘关节和髋关节周围的大关节。这种良性但侵袭性的疾病进展缓慢。然而,它最终会对关节造成不可逆转的损伤。病例介绍:我们简要地描述了一个误诊的巨细胞肿瘤的单侧肌腱鞘的踝关节。一名77岁的男子脚踝肿胀,虽然轻微,但影响了他的行走步态和生活质量。结论:踝关节腱鞘巨细胞瘤非常罕见,临床表现不明显,且常易误诊。MRI是确定软组织破坏范围最好的检查方法,病理检查是目前诊断腱鞘巨细胞瘤最重要的手段。
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