Is the Recurrence of Fibroma of the Tendon Sheath Underestimated? An Instructive Case Report and a Review of the Literature

Author:

Lüdke E.1ORCID,Kohut G.2,Bäcker H. C.3,Maniglio M.2ORCID

Affiliation:

1. Department of Orthopaedic Surgery, Hôpital Neuchâtelois, Switzerland

2. Department of Orthopaedic Surgery, HFR Hôpital Cantonal de Fribourg et Clinique Générale St-Anne, Switzerland

3. Department of Orthopaedic Surgery, Charité University Hospital Berlin, Germany

Abstract

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 50×10×5mm 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.

Publisher

Hindawi Limited

Subject

General Earth and Planetary Sciences,General Environmental Science

Cited by 4 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Fibroma of the tendon sheath in the dorsum of the foot: A case report;JPRAS Open;2023-03

2. Pathology, Genetics, and Molecular Biology;Imaging of Synovial Tumors and Tumor-like Conditions;2023

3. MRI Assessment of Benign Tumor And Tumor-Like Synovial Diseases;Seminars in Roentgenology;2022-07

4. Fibroma of tendon sheath of the hand in a 3-year-old boy: a case report;BMC Musculoskeletal Disorders;2020-11-10

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