Fibroma and giant-cell tumor of tendon sheath: a case report

Abstract

Kátia Tôrres Batista,1 Heveline Becker de Moura,1 Maria Isabel Lima,2 Kikue Terada Abe3 1Department of Plastic Surgery and Pathology, 2Electron Microscopy Laboratory, 3Cytogenetic Laboratory, Sarah Hospital Brasilia, Brazil Abstract: A 53-year-old man presented in 2009 with a tumor over the dorsum of his hand and wrist. Magnetic resonance imaging was performed before surgery and histopathological and immunohistochemical studies were performed after surgery. This demonstrated an ill-defined lesion measuring 46 mm × 31 mm confined to the subcutaneous tissues, extensor tendons, and articular capsule on the dorsum of the hand and wrist with heterogeneous intermediate and high T1 and T2 signal suggesting a complex mixture of fat and fibrous elements. A histopathological differential diagnosis of hemosiderotic fibrohistiocytic lipomatous lesion/tumor (HFLL/T) and giant-cell tumor of tendon sheath and fibroma of tendon sheath was made. We describe this rare lesion and call attention to important points in diagnosis. Keywords: giant cell tumor, fibroma tumor, sheath tendon tumor