Giant cell tendon sheath tumor (GCTTS) is considered the second common tissue tumor, soft and mainly present in the hand originating the ganglion cyst. A localized giant cell tenosynovial tumor can also be called a giant cell tumor of the tendon sheath. We can say that GCTTS is similar to pigmented villonodular synovitis (PVNS). The only thing to differentiate between them is the location of the lesion. GCTTS is in the tendon of the hand, and PVNS is found to be an intra-articular lesion. Doctors have found out that the occurrence of the tumor will mainly be detected in women compared to men between the age of 30-50. The lesion may occur in a single number within a toe. But doctors have also examined the reports of some of the patients who have many lesions in a single toe. There is also a report in which a child has seven lesions in a single toe which is now the highest rate.
Giant cell tumor of tendon sheath symptoms
Mostly we found out the symptoms of the patients by examining their reports. Most of the patients with giant cell tumors of tendon sheath show different signs in their reports. The main symptoms that occur in most of the patients are that there will be a bump-like thing happening where the tumor is, and it will be visible for the doctor to say that it is a tumor.
Cracking in the bone can also be seen in the bone of these patients having giant cell tumors of the tendon sheath. There is fluid accumulating from the joint, which is just next to the affected bone. The patient’s proximal joint movement will also be limited. Swelling will also occur, which can only be known as edema. Pain will happen in the joint which is nearer to that tumor. It is always considered to contact a well-qualified and well-equipped doctor to diagnose correctly because this giant cell tumor of tendon sheath shows resemblance with most other diseases.
Giant cell tumor of tendon sheath Causes
The cause of the giant cell tumor of tendon sheath is still unknown. As science is advancing day by day, I know that they will also get to know about the leading cause of this disease too. The exact cause of giant cell tumors is unknown. But in some cases, they have been associated with Paget’s bone disease. It is a chronic bone disease in which bones grow in size and become deformed.
Giant cell tumor of tendon sheath Diagnosis
Doctors mostly diagnosed this tumor by going through some tests. The test is the only way to find out cancer because it resembles many other diseases.
- Biopsy : Doctors first take out the tissue as a sample where the tumor is present. This is the step to confirm the diagnosis.
- X-rays: X-rays are also done to obtain a scanned image of the affected part.
- CT scan: In CT scans, x-rays are done accompanied by the computer.
- MRI: Large magnets, radio waves are used in this test; a computer is also connected with the machine to get the image of the scanned part.
As this tumor diagnostic property is very much similar to many other diseases, it is considered to test as much as possible to get the correct knowledge of the tumor to examine it correctly.
Giant cell tumor of tendon sheath Treatment
Treatment can only be done according to the present symptoms, your age, and your current health. Your health will be their priority as the surgery will not be successful if the patient has some significant health problem. It will cause difficulties in the treatment of giant cell tumors of the tendon sheath. The doctor will only consider surgery if he observes the severity of the tumor. The only cause of the surgery is done to prevent any bone damage from occurring due to this tumor. The surgeon takes out that tumor and examines it as well. Surgery includes the removal of the affected part by cancer. Firstly the tumor is removed then the affected bone, if necessary, is also removed. Bone grafting is also done in the treatment of the tumor.
Affected bone reconstruction is also beneficial in the treatment of this tumor. This surgery can only be beneficial when accompanied by a physiotherapist, who gives them strength to fight the tumor. Amputation may also be done when the condition of the tumor becomes severe. Doctors prefer radioactive therapy when they cannot remove the tumor with surgery. However, recurrence may occur, so the patient should visit the doctor for a weekly follow-up. You have to see the doctor for up to one year so that it does not form again.