Clinical diagnosis and treatment of giant cell tumor of tendon sheath in finger (70 cases report) / 中国骨伤

ABSTRACT

<p><b>OBJECTIVE</b>To investigate surgical methods and therapeutic effects of giant cell tumor of tendon sheath in finger.</p><p><b>METHODS</b>From July 2002 to December 2010,70 patients with giant cell tumor of tendon sheath in finger which confirmed by operation and pathology,were retrospectively analyzed. There were 29 males,41 females with an average of 42 years (ranged, 16 to 61), and the course of disease ranged form 4 months to 6 years (mean 11 months). The method of surgery and anesthesia were observed.</p><p><b>RESULTS</b>All wounds were got stage I healing,no necrosis occurred. Vascular crisis occurred in 6 cases (8.6%), inconformity of diagnosis in 18 cases (25.7%), changing of anesthesia due to situation of tumor in operation in 17 cases (24.3%). The patients were followed up from 2.2 to 10.5 years. Among them, 8 cases (11.4%) recurred, and diagnosied by the second operation without malignant change.</p><p><b>CONCLUSION</b>The best anesthesia for giant cell tumor in finger should choose brachial plexus to fully expose,complete resection and less harmful damage; while the operation should complete resection at the stage I, and followed up actively, the second operation can be carried out for recorrenced.</p>