Diffuse-Type Tenosynovial Giant Cell Tumour Involving Bone Masquerading as Langerhans Cell Histiocytosis

We presented a case of diffuse-type tenosynovial giant cell tumour (DTSGCT) of foot masquerading as Langerhans cell histiocytosis. Preliminary diagnosis by needle biopsy was difficult due to the major involvement of bones and the overshadowing effect of the accompanying Langerhans cells. The complet...

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Main Authors: Florence M. F. Cheung, Timothy Y. C. So, Tony H. T. Sung, Ying-Lee Lam
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2022/1992541
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author Florence M. F. Cheung
Timothy Y. C. So
Tony H. T. Sung
Ying-Lee Lam
author_facet Florence M. F. Cheung
Timothy Y. C. So
Tony H. T. Sung
Ying-Lee Lam
author_sort Florence M. F. Cheung
collection DOAJ
description We presented a case of diffuse-type tenosynovial giant cell tumour (DTSGCT) of foot masquerading as Langerhans cell histiocytosis. Preliminary diagnosis by needle biopsy was difficult due to the major involvement of bones and the overshadowing effect of the accompanying Langerhans cells. The complete curettage specimen with relevant immunohistochemistry and molecular tests made the final diagnosis of DTSGCT possible. The biomolecular mechanism for the masquerading phenomenon was explained by CSF1 overexpression in the neoplastic cells attracting migration and proliferation of CSF1R-positive Langerhans cells.
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series Case Reports in Medicine
spelling doaj-art-fe6cef9f9e804ccc97f5cab27594f2c92025-02-03T01:19:58ZengWileyCase Reports in Medicine1687-96352022-01-01202210.1155/2022/1992541Diffuse-Type Tenosynovial Giant Cell Tumour Involving Bone Masquerading as Langerhans Cell HistiocytosisFlorence M. F. Cheung0Timothy Y. C. So1Tony H. T. Sung2Ying-Lee Lam3Department of Clinical PathologyMusculoskeletal Tumour CentreRadiology DepartmentDepartment of Orthopaedics and TraumatologyWe presented a case of diffuse-type tenosynovial giant cell tumour (DTSGCT) of foot masquerading as Langerhans cell histiocytosis. Preliminary diagnosis by needle biopsy was difficult due to the major involvement of bones and the overshadowing effect of the accompanying Langerhans cells. The complete curettage specimen with relevant immunohistochemistry and molecular tests made the final diagnosis of DTSGCT possible. The biomolecular mechanism for the masquerading phenomenon was explained by CSF1 overexpression in the neoplastic cells attracting migration and proliferation of CSF1R-positive Langerhans cells.http://dx.doi.org/10.1155/2022/1992541
spellingShingle Florence M. F. Cheung
Timothy Y. C. So
Tony H. T. Sung
Ying-Lee Lam
Diffuse-Type Tenosynovial Giant Cell Tumour Involving Bone Masquerading as Langerhans Cell Histiocytosis
Case Reports in Medicine
title Diffuse-Type Tenosynovial Giant Cell Tumour Involving Bone Masquerading as Langerhans Cell Histiocytosis
title_full Diffuse-Type Tenosynovial Giant Cell Tumour Involving Bone Masquerading as Langerhans Cell Histiocytosis
title_fullStr Diffuse-Type Tenosynovial Giant Cell Tumour Involving Bone Masquerading as Langerhans Cell Histiocytosis
title_full_unstemmed Diffuse-Type Tenosynovial Giant Cell Tumour Involving Bone Masquerading as Langerhans Cell Histiocytosis
title_short Diffuse-Type Tenosynovial Giant Cell Tumour Involving Bone Masquerading as Langerhans Cell Histiocytosis
title_sort diffuse type tenosynovial giant cell tumour involving bone masquerading as langerhans cell histiocytosis
url http://dx.doi.org/10.1155/2022/1992541
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