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Giant cell tumor of the tendon sheath

Case contributed by Bahman Rasuli
Diagnosis certain

Presentation

Left wrist pain and swelling.

Patient Data

Age: 40 years
Gender: Male

There is a 26*30*47 mm soft tissue mass with heterogeneous T1/T2 signal located at the volar radial wrist and the first extensor compartment (ABL, EBP) and flexor carpi radialis (FCR) tendons.

The mass partially encircles the scaphoid, extending dorsally deep to the first extensor compartment. There is ulnar volar extension between the FCR and flexor pollicis longus tendons at the distal margin of the carpal tunnel.

There is intra-osseous extension of the mass into the volar tubercle of the radius.

Case Discussion

Pathology report:

Giant cell-rich lesion is consistent with giant cell tumor of the tendon sheath.

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