Giant Cell Tumour of the Tendon Sheath

Question 1

How common are these?

Answer 1

2nd most common soft tissue swelling of the hand

Question 2

Where do these usually occur?

Answer 2

Usually palmar surface

Around PIP of index and middle finger

Question 3

Histology of giant cell tumour of tendon sheath?

Answer 3

Multinucleate giant cells

Haemosiderin (gives brown appearance)

Question 4

Signs and symptoms of giant cell tumour of tendon sheath?

Answer 4

May or may not cause pain

Palmar surface around PIP of index/middle finger

Question 5

Treatmnet of these?

Answer 5

Excision: prevents spread and treat symptoms

Recurrence is common