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Medium-term Outcomes of Excision Using Surgical Microscope of Tenosynovial Giant Cell Tumors of the Hand.
Nakamura, Yuta; Tada, Kaoru; Akahane, Mika; Honda, Soichiro; Horie, Sho; Ikeda, Kazuo; Tsuchiya, Hiroyuki.
Afiliação
  • Nakamura Y; Department of Orthopedic Surgery, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan.
  • Tada K; Department of Orthopedic Surgery, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan; tdkr@med.kanazawa-u.ac.jp.
  • Akahane M; Department of Orthopedic Surgery, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan.
  • Honda S; Department of Orthopedic Surgery, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan.
  • Horie S; Department of Orthopedic Surgery, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan.
  • Ikeda K; Department of Orthopedic Surgery, Kanazawa Medical Center, Kanazawa, Japan.
  • Tsuchiya H; Department of Orthopedic Surgery, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan.
Anticancer Res ; 44(1): 375-378, 2024 Jan.
Article em En | MEDLINE | ID: mdl-38159975
ABSTRACT
BACKGROUND/

AIM:

The recurrence rate following the excision of tenosynovial giant cell tumors (TSGCT) of the hand is very high. Intraoperative application of a surgical microscope has been reported. However, to date, there are no reports of medium-term outcomes related to this technique. This study aimed to evaluate the medium-term outcomes of tumor excision using surgical microscope for TSGCT of the hand. PATIENTS AND

METHODS:

A total of 27 patients, who underwent an initial surgery for histologically-confirmed TSGCT of the hand, between 2008 and 2020, were included and evaluated. The mean follow-up time postoperatively was 6.8 years. Tumor recurrence and preoperative tumor characteristics were assessed.

RESULTS:

All tumors were adherent to tendons, tendon sheaths, neurovascular structures or periarticular ligaments and capsules. Bony lesions were observed in 11 tumors. The surgical microscope was used in 13 tumors. Recurrences were observed in three tumors (overall recurrence rate 11%). Tumor characteristics were similar in both groups, but the recurrence rate in the group treated using the surgical microscope was 0%, whereas the recurrence rate in the group treated without the surgical microscope was 21%. Re-operations using the surgical microscope for recurrent tumors were performed, without recurrence postoperatively.

CONCLUSION:

Among patients with TSGCT of the hand treated with tumor excision using the surgical microscope, the postoperative recurrence rate was 0%. Based on the results of this study, the surgical microscope might be used for excision of TSGCTs of the hand.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Tumor de Células Gigantes de Bainha Tendinosa / Tumores de Células Gigantes Limite: Humans Idioma: En Revista: Anticancer Res Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Japão

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Tumor de Células Gigantes de Bainha Tendinosa / Tumores de Células Gigantes Limite: Humans Idioma: En Revista: Anticancer Res Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Japão