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Multiple recurrence of digital pigmented villonodular tenosynovitis: a case report
The Journal of Hand Surgery
|March 1, 1985
Summary
Digital pigmented villonodular tenosynovitis (DPVNT) frequently recurs. Despite 11 recurrences over 14 years, one patient maintained finger function, highlighting potential for long-term management.
Area of Science:
- Orthopedic Surgery
- Oncology
- Pathology
Background:
- Digital pigmented villonodular tenosynovitis (DPVNT) is a locally aggressive tumor.
- DPVNT demonstrates a high recurrence rate after surgical excision.
- Recurrent DPVNT poses challenges in maintaining joint function and limb integrity.
Observation:
- A case study of a patient with 11 consecutive DPVNT recurrences over 14 years.
- The patient's affected finger remained functional throughout the 14-year observation period.
- Surgical management strategies were employed for each recurrence.
Findings:
- Despite numerous recurrences, aggressive surgical intervention allowed for functional preservation of the digit.
- The study documents an exceptional case of long-term DPVNT management.
- Sustained functional outcome is achievable even with high recurrence rates.
Implications:
- This case suggests that repeated surgical management can lead to favorable functional outcomes in recurrent DPVNT.
- It underscores the importance of vigilant monitoring and tailored surgical approaches for DPVNT.
- Further research into the biological behavior and optimal treatment paradigms for recurrent DPVNT is warranted.