Role of MRI and surgical excision in long-standing diffuse-type GCTTS of the flexor tendon sheath

Antonios Michailidis, MD; Ioannis Tsifountoudis, MD, PhD; Dimitrios Kitridis, MD, FEBOT, MSc, PhDc; Eleni Karagergou, MD, PhD; Alexandros Givissis, MD; Panagiotis Givissis, MD, PhD

Radiology Case Reports (Mar 2025)

Role of MRI and surgical excision in long-standing diffuse-type GCTTS of the flexor tendon sheath

Antonios Michailidis, MD,
Ioannis Tsifountoudis, MD, PhD,
Dimitrios Kitridis, MD, FEBOT, MSc, PhDc,
Eleni Karagergou, MD, PhD,
Alexandros Givissis, MD,
Panagiotis Givissis, MD, PhD

Affiliations

Antonios Michailidis, MD: Interventional Radiology Department, G. Papanikolaou General Hospital Thessaloniki, Greece; Corresponding author.
Ioannis Tsifountoudis, MD, PhD: Diagnostic Radiology Department, 424 GSNE Thessaloniki, Greece
Dimitrios Kitridis, MD, FEBOT, MSc, PhDc: Firstst Orthopaedic Department, 424 Army General Training Hospital, Thessaloniki, Greece
Eleni Karagergou, MD, PhD: First Orthopaedic Department, Aristotle University of Thessaloniki, School of Medicine, Thessaloniki, Greece
Alexandros Givissis, MD: Medical School of European University of Cyprus, Nicosia, Cyprus
Panagiotis Givissis, MD, PhD: First Orthopaedic Department, Aristotle University of Thessaloniki, School of Medicine, Thessaloniki, Greece

Journal volume & issue: Vol. 20, no. 3
pp. 1368 – 1373

Abstract

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Diffuse-type giant cell tumor of the tendon sheath (GCTTS) is a rare, benign, yet locally aggressive soft tissue tumor commonly affecting the hand. This case report presents a 55-year-old male with a 5-year history of GCTTS in the flexor tendon sheath of the long finger. MRI played a critical role in both diagnosis and surgical planning, revealing key features such as the tumor's 10 cm length, hemosiderin deposition, and blooming artifacts. The patient underwent successful surgical excision with no recurrence at the 1-year follow-up. This case underscores the significance of MRI in preventing functional impairment and reducing recurrence risk in diffuse-type GCTTS.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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