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Multiple Giant Cell Tumors of Tendon Sheath Found within a Single Digit of a 9-Year-Old
John S Hwang1, Valerie A Fitzhugh2, Peter D Gibson1
1Department of Orthopaedic Surgery, Rutgers, The State University of New Jersey, New Jersey Medical School, Newark, NJ 07103, USA.
Insights
Giant cell tumor of tendon sheath (GCTTS) is common in adults but rare in children. This report details a pediatric case with seven GCTTS lesions in one digit, a record number.
Area of Science:
- Orthopedics
- Surgical Pathology
- Pediatric Oncology
Background:
- Giant cell tumor of tendon sheath (GCTTS) is a frequent soft tissue tumor affecting the hand.
- Typically observed in adults aged 30-40, presenting as solitary nodules.
- The maximum reported lesions in a single digit is five.
Purpose of the Study:
- To report an exceptionally rare case of GCTTS in a pediatric patient.
- To document an unprecedented number of GCTTS lesions within a single digit in a child.
Main Methods:
- Case report of a pediatric patient diagnosed with GCTTS.
- Clinical and pathological examination of the affected digit.
Main Results:
- A pediatric patient presented with multiple GCTTS lesions.
- Seven GCTTS lesions were identified in a single digit, exceeding previously reported numbers.
- This represents the highest number of GCTTS lesions within a single digit documented to date.
Conclusions:
- GCTTS, though uncommon, can occur in the pediatric population.
- This case highlights the potential for a high burden of GCTTS in a single digit in children.
- Further research may be needed to understand GCTTS presentation in pediatric cases.
Abstract:
Giant cell tumor of tendon sheath is one of the most common soft tissue tumors of the hand. These tumors typically occur in the third or fourth decade of life and present as solitary nodules on a single digit. Currently, the greatest reported number of lesions found within a single digit is five. Although uncommon, giant cell tumor of tendon sheath does occur in the pediatric population. Herein we present a report of a rare case of GCTTS in a child in which seven lesions were identified within a single digit-the greatest number of lesions within a single digit reported to date.