Is the Recurrence of Fibroma of the Tendon Sheath Underestimated? An Instructive Case Report and a Review of the Literature
We report a case of a 21-year-old healthy woman with a history of a painful growing mass in the palm of the right hand, with a trigger finger phenomenon. The mass was surgically entirely excised, and the histological findings of the tumor were those of a fibroma of the tendon sheath (FTS) starting f...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2020/5357329 |
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| author | E. Lüdke G. Kohut H. C. Bäcker M. Maniglio |
| author_facet | E. Lüdke G. Kohut H. C. Bäcker M. Maniglio |
| author_sort | E. Lüdke |
| collection | DOAJ |
| description | We report a case of a 21-year-old healthy woman with a history of a painful growing mass in the palm of the right hand, with a trigger finger phenomenon. The mass was surgically entirely excised, and the histological findings of the tumor were those of a fibroma of the tendon sheath (FTS) starting from the flexor tendons. Although the initial outcome was good, the patient experienced the same symptoms at the same location 4.5 years later. The MRI demonstrated a 50×10×5 mm mass of low intensity on T1-weighted images and high intensity on T2-weighted images and gadolinium enhancement. A second complete excision of the tumor was performed by the same senior surgeon, and the histology confirmed the recurrence of the FTS. We also reviewed the scientific literature about FTS in the hand. Most recent studies show a low rate or no recurrence at all. We hypothesize that a lot of recurrences are missed because of a short follow-up and that the recurrence rate may be higher than thought. |
| format | Article |
| id | doaj-art-dfb511643ba54c6aafea0bf5899eb1a6 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-dfb511643ba54c6aafea0bf5899eb1a62025-02-03T05:52:44ZengWileyCase Reports in Orthopedics2090-67492090-67572020-01-01202010.1155/2020/53573295357329Is the Recurrence of Fibroma of the Tendon Sheath Underestimated? An Instructive Case Report and a Review of the LiteratureE. Lüdke0G. Kohut1H. C. Bäcker2M. Maniglio3Department of Orthopaedic Surgery, Hôpital Neuchâtelois, SwitzerlandDepartment of Orthopaedic Surgery, HFR Hôpital Cantonal de Fribourg et Clinique Générale St-Anne, SwitzerlandDepartment of Orthopaedic Surgery, Charité University Hospital Berlin, GermanyDepartment of Orthopaedic Surgery, HFR Hôpital Cantonal de Fribourg et Clinique Générale St-Anne, SwitzerlandWe report a case of a 21-year-old healthy woman with a history of a painful growing mass in the palm of the right hand, with a trigger finger phenomenon. The mass was surgically entirely excised, and the histological findings of the tumor were those of a fibroma of the tendon sheath (FTS) starting from the flexor tendons. Although the initial outcome was good, the patient experienced the same symptoms at the same location 4.5 years later. The MRI demonstrated a 50×10×5 mm mass of low intensity on T1-weighted images and high intensity on T2-weighted images and gadolinium enhancement. A second complete excision of the tumor was performed by the same senior surgeon, and the histology confirmed the recurrence of the FTS. We also reviewed the scientific literature about FTS in the hand. Most recent studies show a low rate or no recurrence at all. We hypothesize that a lot of recurrences are missed because of a short follow-up and that the recurrence rate may be higher than thought.http://dx.doi.org/10.1155/2020/5357329 |
| spellingShingle | E. Lüdke G. Kohut H. C. Bäcker M. Maniglio Is the Recurrence of Fibroma of the Tendon Sheath Underestimated? An Instructive Case Report and a Review of the Literature Case Reports in Orthopedics |
| title | Is the Recurrence of Fibroma of the Tendon Sheath Underestimated? An Instructive Case Report and a Review of the Literature |
| title_full | Is the Recurrence of Fibroma of the Tendon Sheath Underestimated? An Instructive Case Report and a Review of the Literature |
| title_fullStr | Is the Recurrence of Fibroma of the Tendon Sheath Underestimated? An Instructive Case Report and a Review of the Literature |
| title_full_unstemmed | Is the Recurrence of Fibroma of the Tendon Sheath Underestimated? An Instructive Case Report and a Review of the Literature |
| title_short | Is the Recurrence of Fibroma of the Tendon Sheath Underestimated? An Instructive Case Report and a Review of the Literature |
| title_sort | is the recurrence of fibroma of the tendon sheath underestimated an instructive case report and a review of the literature |
| url | http://dx.doi.org/10.1155/2020/5357329 |
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