Role of MRI and surgical excision in long-standing diffuse-type GCTTS of the flexor tendon sheath

Diffuse-type giant cell tumor of the tendon sheath (GCTTS) is a rare, benign, yet locally aggressive soft tissue tumor commonly affecting the hand. This case report presents a 55-year-old male with a 5-year history of GCTTS in the flexor tendon sheath of the long finger. MRI played a critical role i...

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Main Authors: Antonios Michailidis, MD, Ioannis Tsifountoudis, MD, PhD, Dimitrios Kitridis, MD, FEBOT, MSc, PhDc, Eleni Karagergou, MD, PhD, Alexandros Givissis, MD, Panagiotis Givissis, MD, PhD
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Radiology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043324013086
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author Antonios Michailidis, MD
Ioannis Tsifountoudis, MD, PhD
Dimitrios Kitridis, MD, FEBOT, MSc, PhDc
Eleni Karagergou, MD, PhD
Alexandros Givissis, MD
Panagiotis Givissis, MD, PhD
author_facet Antonios Michailidis, MD
Ioannis Tsifountoudis, MD, PhD
Dimitrios Kitridis, MD, FEBOT, MSc, PhDc
Eleni Karagergou, MD, PhD
Alexandros Givissis, MD
Panagiotis Givissis, MD, PhD
author_sort Antonios Michailidis, MD
collection DOAJ
description Diffuse-type giant cell tumor of the tendon sheath (GCTTS) is a rare, benign, yet locally aggressive soft tissue tumor commonly affecting the hand. This case report presents a 55-year-old male with a 5-year history of GCTTS in the flexor tendon sheath of the long finger. MRI played a critical role in both diagnosis and surgical planning, revealing key features such as the tumor's 10 cm length, hemosiderin deposition, and blooming artifacts. The patient underwent successful surgical excision with no recurrence at the 1-year follow-up. This case underscores the significance of MRI in preventing functional impairment and reducing recurrence risk in diffuse-type GCTTS.
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series Radiology Case Reports
spelling doaj-art-68c47584e96a40dda0da10dad3c16c632025-01-18T05:03:53ZengElsevierRadiology Case Reports1930-04332025-03-0120313681373Role of MRI and surgical excision in long-standing diffuse-type GCTTS of the flexor tendon sheathAntonios Michailidis, MD0Ioannis Tsifountoudis, MD, PhD1Dimitrios Kitridis, MD, FEBOT, MSc, PhDc2Eleni Karagergou, MD, PhD3Alexandros Givissis, MD4Panagiotis Givissis, MD, PhD5Interventional Radiology Department, G. Papanikolaou General Hospital Thessaloniki, Greece; Corresponding author.Diagnostic Radiology Department, 424 GSNE Thessaloniki, GreeceFirstst Orthopaedic Department, 424 Army General Training Hospital, Thessaloniki, GreeceFirst Orthopaedic Department, Aristotle University of Thessaloniki, School of Medicine, Thessaloniki, GreeceMedical School of European University of Cyprus, Nicosia, CyprusFirst Orthopaedic Department, Aristotle University of Thessaloniki, School of Medicine, Thessaloniki, GreeceDiffuse-type giant cell tumor of the tendon sheath (GCTTS) is a rare, benign, yet locally aggressive soft tissue tumor commonly affecting the hand. This case report presents a 55-year-old male with a 5-year history of GCTTS in the flexor tendon sheath of the long finger. MRI played a critical role in both diagnosis and surgical planning, revealing key features such as the tumor's 10 cm length, hemosiderin deposition, and blooming artifacts. The patient underwent successful surgical excision with no recurrence at the 1-year follow-up. This case underscores the significance of MRI in preventing functional impairment and reducing recurrence risk in diffuse-type GCTTS.http://www.sciencedirect.com/science/article/pii/S1930043324013086Giant cell tumorTendon sheathMRI diagnosticsSurgical excisionDiffuse-TypeGCTTS
spellingShingle Antonios Michailidis, MD
Ioannis Tsifountoudis, MD, PhD
Dimitrios Kitridis, MD, FEBOT, MSc, PhDc
Eleni Karagergou, MD, PhD
Alexandros Givissis, MD
Panagiotis Givissis, MD, PhD
Role of MRI and surgical excision in long-standing diffuse-type GCTTS of the flexor tendon sheath
Radiology Case Reports
Giant cell tumor
Tendon sheath
MRI diagnostics
Surgical excision
Diffuse-Type
GCTTS
title Role of MRI and surgical excision in long-standing diffuse-type GCTTS of the flexor tendon sheath
title_full Role of MRI and surgical excision in long-standing diffuse-type GCTTS of the flexor tendon sheath
title_fullStr Role of MRI and surgical excision in long-standing diffuse-type GCTTS of the flexor tendon sheath
title_full_unstemmed Role of MRI and surgical excision in long-standing diffuse-type GCTTS of the flexor tendon sheath
title_short Role of MRI and surgical excision in long-standing diffuse-type GCTTS of the flexor tendon sheath
title_sort role of mri and surgical excision in long standing diffuse type gctts of the flexor tendon sheath
topic Giant cell tumor
Tendon sheath
MRI diagnostics
Surgical excision
Diffuse-Type
GCTTS
url http://www.sciencedirect.com/science/article/pii/S1930043324013086
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