Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
권호 표지
DOI QR코드

DOI QR Code

Diffuse-Type Tenosynovial Giant Cell Tumor of the Tendon Sheath in Both Wrists

양측 손목의 힘줄에 생긴 미만형의 건활막거대세포종

  • Sunah Heo (Department of Radiology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Sun-Young Park (Department of Radiology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Jinwon Seo (Department of Patholgy, Hallym University Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Sung Hye Koh (Department of Radiology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine) ;
  • In Jae Lee (Department of Radiology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine)
  • 허선아 (한림대학교 의과대학 한림대학교 성심병원 영상의학과) ;
  • 박선영 (한림대학교 의과대학 한림대학교 성심병원 영상의학과) ;
  • 서진원 (한림대학교 의과대학 한림대학교 성심병원 병리과) ;
  • 고성혜 (한림대학교 의과대학 한림대학교 성심병원 영상의학과) ;
  • 이인재 (한림대학교 의과대학 한림대학교 성심병원 영상의학과)
  • Received : 2020.03.25
  • Accepted : 2020.05.13
  • Published : 2021.01.01
Download PDF
⟨ Previous Next ⟩

Abstract

Diffuse-type tenosynovial giant cell tumor (D-TSGCT), previously known as pigmented villonodular synovitis, is a locally aggressive neoplasm that may arise from the synovium, bursa, or tendon sheath. D-TSGCT is usually monoarticular and can be classified into intra- and extra-articular forms, the latter of which is rarer. Here, we report a case of D-TSGCT in a 64-year-old female that involved the entire flexor and extensor tendon sheaths of both wrists. We describe the ultrasonography and MRI findings, as well as review the relevant literature.

건활막거대세포종은 이전에 색소성융모결절성 활막염으로 불리던 질환으로, 활막, 점액낭, 힘줄 등에 생기는 드문 양성 종양이다. 미만형의 건활막거대세포종은 국소형에 비해 드물고 그중에서도 관절 외에 발생하는 것은 더 드물다. 또한 대부분은 하나의 관절을 침범하기 때문에 양측을 대칭적으로 침범한 것도 매우 드물다. 이에 저자들은 64세 여자 환자에서 양측 손목의 신전건과 굴곡건을 모두 침범한 관절 외 미만형의 건활막거대세포종의 증례에 대해 초음파와 자기공명영상검사 소견을 중심으로 보고하고자 한다.

Keywords

References

  1. Murphey MD, Rhee JH, Lewis RB, Fanburg-Smith JC, Flemming DJ, Walker EA. Pigmented villonodular synovitis: radiologic-pathologic correlation. Radiographics 2008;28:1493-1518
  2. Gouin F, Noailles T. Localized and diffuse forms of tenosynovial giant cell tumor (formerly giant cell tumor of the tendon sheath and pigmented villonodular synovitis). Orthop Traumatol Surg Res 2017;103:S91-S97
  3. Lucas DR. Tenosynovial giant cell tumor: case report and review. Arch Pathol Lab Med 2012;136:901-906
  4. Lee YJ, Kang Y, Jung J, Kim S, Kim CH. Intramuscular tenosynovial giant cell tumor, diffuse-type. J Pathol Transl Med 2016;50:306-308
  5. Savvidou OD, Mavrogenis AF, Sakellariou VI, Chloros GD, Sarlikiotis T, Papagelopoulos PJ. Extra-articular diffuse giant cell tumor of the tendon sheath: a report of 2 cases. Arch Bone Jt Surg 2016;4:273-276
  6. Botez P, Sirbu PD, Grierosu C, Mihailescu D, Savin L, Scarlat MM. Adult multifocal pigmented villonodular synovitis--clinical review. Int Orthop 2013;37:729-733
  7. Krause FG, Wroblewski JA, Younger AS. Pigmented villonodular synovitis in both hindfeet. Can J Surg 2009;52:E38-E39
  8. Narvaez JA, Narvaez J, De Lama E, De Albert M. MR imaging of early rheumatoid arthritis. Radiographics 2010;30:143-163
  9. Yoon HJ, Kwon JW, Yoon YC, Choi SH. Nontuberculous mycobacterial tenosynovitis in the hand: two case reports with the MR imaging findings. Korean J Radiol 2011;12:745-749