A young female presented with a lump in distal forearm/wrist region on the palmar side. Ultrasound shows a well-defined, solid lesion which is free from the tendons. Surgical excision of the tumor was done. Histopathology revealed the lesion being a giant cell tumor of the tendon sheath.

Intraoperative photos courtesy: Operating surgeon Dr. Pinkesh V. Patel & Dr. Vitrag D. Shah.