An Extensive Infiltrative Diffuse Tenosynovial Giant Cell Tumor in Both Compartments of the Forearm: A Case Report

  • Safdar Ali Khan Fatima Memorial Hospital (FMH) College of Medicine and Dentistry, Lahore
  • Muhammad Suhail Arif Fatima Memorial Hospital (FMH) College of Medicine and Dentistry, Lahore
  • Abdullah Safdar Fatima Memorial Hospital (FMH) College of Medicine and Dentistry, Lahore
  • Hamza Safdar Ghurki Trust Teaching Hospital, Lahore
Keywords: Giant cell tumor of tendon sheath, Tendon entrapment, Tenosynovitis

Abstract

Diffuse tenosynovial giant cell tumors are relatively rare but second most common tumor effecting the synovial containing tissues. The study aim was to present a case involving a 40-year-old male patient with a complaint of a progressively enlarging swelling on the radial side of right wrist. On local examination, there was a bi-lobed swelling 7×9 and 6×5 cm on the dorsolateral and anterolateral aspect of right wrist respectively. Through Hennery’s modified approach tumor was exposed. It was extending from dorsolateral to anteromedial wrist encasing the flexors, extensor and abductor tendons of thumb and radial neurovascular bundle and adjacent wrist and finger flexors. The tumor surrounding the tendons was carefully removed, and carpal tunnel release was performed to address the tingling sensation. The patient managed was having lobulated diffuse type tumor involving the both flexor and extensor compartment. Better outcome, less morbidity and least chance of recurrence can be expected if the tumor had been operated earlier.

Author Biographies

Safdar Ali Khan, Fatima Memorial Hospital (FMH) College of Medicine and Dentistry, Lahore

FCPS (Orthopedic Surgery),

Professor and HOD Orthopedic

Muhammad Suhail Arif, Fatima Memorial Hospital (FMH) College of Medicine and Dentistry, Lahore

FRCS (Orthopedic Surgery),

Associate Professor

Abdullah Safdar, Fatima Memorial Hospital (FMH) College of Medicine and Dentistry, Lahore

MBBS (Orthopedic Surgery),

House Officer

Hamza Safdar, Ghurki Trust Teaching Hospital, Lahore

MBBS (Orthopedic Surgery),

House Officer

Published
2024-09-16
Section
Case Reports