Giant cell tumor of tendon sheath

Case contributed by Ian Bickle
Diagnosis almost certain

Presentation

Two year history of swelling on the volar aspect of the index finger. Giant cell tumor of tendon sheath?

Patient Data

Age: 30 years
Gender: Female
This study is a stack
Axial
T1
This study is a stack
Coronal
T1
This study is a stack
Sagittal
T1
This study is a stack
Axial T2
fat sat
This study is a stack
Sagittal
T2 fat sat
This study is a stack
Axial T1
C+ fat sat
This study is a stack
Sagittal T1
C+ fat sat
This study is a stack
Coronal T1
C+ fat sat
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Info

Skin surface markers in situ.

Well defined, lobulated 3.5x2.2x2.1cm T1 isointense, heterogeneously enhancing mass seen around the index finger metacarpal.  

The lesion encases the flexor tendon with scalloping of the metacarpal base. It's predominantly on the palmar surface and extending dorsally with the main bulk on medial aspect.

Case Discussion

The appearances of this peritendinous mass on the index finger are most consistent with a giant cell tumor of the tendon sheath.

To date, surgery has not been performed for a confirmed histological diagnosis.

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