Tenosynovial Giant Cell Tumor Involving Quadriceps Muscle – A Case Report of Two Cases

Introduction: Tenosynovial giant cell tumors (TS-GCTs) are benign soft-tissue tumors that arise from the synovium of joints, bursae, and tendon sheath. They are classified into two major forms – localized and diffuse types with varied clinical presentation and treatment protocol. Case Report: A 38-y...

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Main Authors: Kishore Ragavendra Rajesh, J K Giriraj Harshavardhan, Sundar Suriyakumar, Mohammed Tavfiq, U Thiyagarajan, Subalakshmi Balasubramanian
Format: Article
Language:English
Published: Indian Orthopaedic Research Group 2025-04-01
Series:Journal of Orthopaedic Case Reports
Subjects:
Online Access:https://jocr.co.in/wp/2025/04/01/tenosynovial-giant-cell-tumor-involving-quadriceps-muscle-a-case-report-of-two-cases/
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author Kishore Ragavendra Rajesh
J K Giriraj Harshavardhan
Sundar Suriyakumar
Mohammed Tavfiq
U Thiyagarajan
Subalakshmi Balasubramanian
author_facet Kishore Ragavendra Rajesh
J K Giriraj Harshavardhan
Sundar Suriyakumar
Mohammed Tavfiq
U Thiyagarajan
Subalakshmi Balasubramanian
author_sort Kishore Ragavendra Rajesh
collection DOAJ
description Introduction: Tenosynovial giant cell tumors (TS-GCTs) are benign soft-tissue tumors that arise from the synovium of joints, bursae, and tendon sheath. They are classified into two major forms – localized and diffuse types with varied clinical presentation and treatment protocol. Case Report: A 38-year-old gentleman presented with complaints of left thigh swelling and pain since 18 months. He underwent aspiration and a surgical procedure elsewhere without much improvement. Diagnosis was confirmed on magnetic resonance imaging (MRI). Surgical resection was done and specimen was correlated histopathologically. Another 15-year-old boy presented with complaints of right knee pain and swelling since 5 months. MRI was done which showed knee effusion with synovial thickening for which aspiration was done and started on antibiotics but symptoms persisted. Hence, surgical resection and biopsy was done which was confirmed to be TS-GCT. Both patients regained full knee movements postoperatively and were uneventful. Conclusion: The mainstay of treatment of TS-GCT diffuse type is complete open surgical resection with role of adjuvant radiotherapy/chemotherapy being controversial.
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publisher Indian Orthopaedic Research Group
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series Journal of Orthopaedic Case Reports
spelling doaj-art-977bcb41d83a4222bcc1cec3aded6c132025-08-20T02:37:09ZengIndian Orthopaedic Research GroupJournal of Orthopaedic Case Reports2250-06852321-38172025-04-0115419219810.13107/jocr.2025.v15.i04.5496Tenosynovial Giant Cell Tumor Involving Quadriceps Muscle – A Case Report of Two CasesKishore Ragavendra RajeshJ K Giriraj HarshavardhanSundar SuriyakumarMohammed TavfiqU ThiyagarajanSubalakshmi BalasubramanianIntroduction: Tenosynovial giant cell tumors (TS-GCTs) are benign soft-tissue tumors that arise from the synovium of joints, bursae, and tendon sheath. They are classified into two major forms – localized and diffuse types with varied clinical presentation and treatment protocol. Case Report: A 38-year-old gentleman presented with complaints of left thigh swelling and pain since 18 months. He underwent aspiration and a surgical procedure elsewhere without much improvement. Diagnosis was confirmed on magnetic resonance imaging (MRI). Surgical resection was done and specimen was correlated histopathologically. Another 15-year-old boy presented with complaints of right knee pain and swelling since 5 months. MRI was done which showed knee effusion with synovial thickening for which aspiration was done and started on antibiotics but symptoms persisted. Hence, surgical resection and biopsy was done which was confirmed to be TS-GCT. Both patients regained full knee movements postoperatively and were uneventful. Conclusion: The mainstay of treatment of TS-GCT diffuse type is complete open surgical resection with role of adjuvant radiotherapy/chemotherapy being controversial.https://jocr.co.in/wp/2025/04/01/tenosynovial-giant-cell-tumor-involving-quadriceps-muscle-a-case-report-of-two-cases/tenosynovial giant cell tumortenosynovial-giant cell tumor of kneediffuse typeopen biopsymagnetic resonance imagingwide resectionradiotherapychemotherapy
spellingShingle Kishore Ragavendra Rajesh
J K Giriraj Harshavardhan
Sundar Suriyakumar
Mohammed Tavfiq
U Thiyagarajan
Subalakshmi Balasubramanian
Tenosynovial Giant Cell Tumor Involving Quadriceps Muscle – A Case Report of Two Cases
Journal of Orthopaedic Case Reports
tenosynovial giant cell tumor
tenosynovial-giant cell tumor of knee
diffuse type
open biopsy
magnetic resonance imaging
wide resection
radiotherapy
chemotherapy
title Tenosynovial Giant Cell Tumor Involving Quadriceps Muscle – A Case Report of Two Cases
title_full Tenosynovial Giant Cell Tumor Involving Quadriceps Muscle – A Case Report of Two Cases
title_fullStr Tenosynovial Giant Cell Tumor Involving Quadriceps Muscle – A Case Report of Two Cases
title_full_unstemmed Tenosynovial Giant Cell Tumor Involving Quadriceps Muscle – A Case Report of Two Cases
title_short Tenosynovial Giant Cell Tumor Involving Quadriceps Muscle – A Case Report of Two Cases
title_sort tenosynovial giant cell tumor involving quadriceps muscle a case report of two cases
topic tenosynovial giant cell tumor
tenosynovial-giant cell tumor of knee
diffuse type
open biopsy
magnetic resonance imaging
wide resection
radiotherapy
chemotherapy
url https://jocr.co.in/wp/2025/04/01/tenosynovial-giant-cell-tumor-involving-quadriceps-muscle-a-case-report-of-two-cases/
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AT sundarsuriyakumar tenosynovialgiantcelltumorinvolvingquadricepsmuscleacasereportoftwocases
AT mohammedtavfiq tenosynovialgiantcelltumorinvolvingquadricepsmuscleacasereportoftwocases
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