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Case Studies | Orthopedic | India | Volume 13 Issue 3, March 2024 | Popularity: 4.9 / 10

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Tendon Sheath Giant Cell Tumour at the Dorsum of Foot - A Case Report of an Unusual Localization

Dr. R. Sarmah, Dr Kamal Nayan, Dr Kumariyoti Deka

Abstract: Introduction and importance: In addition to describing the diagnostic standards and therapeutic care, the aim of this research is to draw attention to a rare entity in a unique place and to reflect our therapeutic attitude in this respect. Case presentation: We discuss a woman's case who is 45 years old and has swelling on the right foot's dorsum, Initially ignored by the patient, the condition has evolved and is now characterized by pain while wearing shoes, it was a firm mass of 2.5x2x1 cm? somewhat painful without local inflammatory signs having a normal appearance on the radiography, our approach was tumor excision while preserving the tendon, the FNAC examination suggested an impression of huge cell tumor of the tendon sheath and with advice of excision biopsy and HPE for confirmation. Clinical discussion: The tendon sheath giant cell tumor typically exists as a firm, slow growing mass; radiological evaluation reveals erosions of bone: It is necessary to have an MRI for histological confirmation and extension evaluation; Despite being rare, malignant degenerations must always be explored; and adjuvant radiotherapy, which could be used in cases of incomplete resection but is a contentious topic. Conclusion: Due to the invasion of adjacent structures, benign GCT may become locally malignant, making full removal challenging. The diagnosis needs histological confirmation and is supported by clinical and radiographic criteria.

Keywords: Giant Cell Tumour, Synovial Sheath, Foot, Case Report

Edition: Volume 13 Issue 3, March 2024

Pages: 1688 - 1690

DOI: https://www.doi.org/10.21275/MR24325094318

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