Tenosynovial giant cell tumor - wrist

Case contributed by Bahman Rasuli
Diagnosis certain

Presentation

The palmar aspect of the left wrist has been showing noticeable swelling for 6 months. There is only slight pain.

Patient Data

Age: 30 years
Gender: Female

Abnormal signal infiltrative enhancing mass lesion measuring about 20 x 25 mm lateral to the carpal tunnel and flexor tendons with cortical remodeling and extension to the radius styloid.

Another similar, smaller lesion measuring about 8 x 27 mm at the medial wrist with erosion at the triquetrum.

The larger mass had been biopsied, and histopathologic examinations were compatible with a giant cell tumor of the tendon sheath.

Case Discussion

Tenosynovial giant cell tumors are typically benign and originate from the synovium of joints, bursae, or tendon sheaths, exhibiting synovial differentiation.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.