Giant Cell Tumor of Tendon Sheath in Supraclavicular Region: Cytological Aspect of a Common Tumor in an Uncommon Location

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Published: Feb 20, 2019
DOI: https://doi.org/10.31524/bkkmedj.2019.02.017
Keywords:
giant cell tumor of tendon sheath, cytology, localized tenosynovial giant cell tumor

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Sirithep Plumworasawat, MD, MIAC
Artit Jinawath, MD, PhD

Abstract

Giant cell tumor of tendon sheath (GCTTS) is a common neoplasm, frequently developed around small digital joints of hand, and less commonly in wrist, ankle, foot and knee. GCTTS of other locations are very rare. The cytological feature of GCTTS is unique, but it could mimic neoplasm, inflammation or other lesions when arising in unusual locations. We reported a case of a 26-year-old male who presented with a supraclavicular mass. Microscopic features of excised mass revealed well-demarcated oval nodule, composed of polymorphous population of multinucleated giant cells and mononuclear cells with fibrous septa, consistent with the diagnosis of GCTTS. Local recurrence is not occurring during five-year follow-up. The purposes of this report is to present the rarity of this tumor in an exceedingly rare location and to help avoid misdiagnosis with other mimics.

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How to Cite
1.
Plumworasawat S, Jinawath A. Giant Cell Tumor of Tendon Sheath in Supraclavicular Region: Cytological Aspect of a Common Tumor in an Uncommon Location. BKK Med J [Internet]. 2019 Feb. 20 [cited 2024 Nov. 22];15(1):97. Available from: https://he02.tci-thaijo.org/index.php/bkkmedj/article/view/222710
Issue
Vol. 15 No. 1 (2019): February
Section
Case Report

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References

1. de St. Aubain Somerhausen N, van de Rijn M. Tenosynovialgiant cell tumor, localized type/diffuse type. In: Fletcher CD,Bridge JA, Hogendoorn PC, Mertens F, eds. WHO classificationof tumors of soft tissue and bone. Lyon: IARC Press;2013:100-3.
2. Iyer VK, Kapila K, Verma K. Fine-needle aspiration cytologyof giant cell tumor of tendon sheath. Diagn Cytopathol2003;29:105-10.
3. Sun C, Sheng W, Yu H, et al. Giant cell tumor of the tendonsheath: A rare case in the left knee of a 15-year-old boy.Oncol Lett 2012;3:718-20.
4. Minotto R, Rodrigues CB, Grill AB, et al. Giant cell tumorof the tendon sheath: a rare periungual location simulationmyxoid cyst. An Bras Dermatol 2017;92:121-3.
5. Rekha YC, Patnayak R, Bodagala V, et al. Giant cell tumorof tendon sheath in palmar region-cytological aspect of anuncommon tumor. Med J DY Patil Univ 2017;10:82-4.
6. Krishnamoorthy VP, Jacob KM, Poonnoose PM. Giant celltumor of the supraspinatus tendon sheath causing shoulderimpingement. Int J Shoulder Surg 2012;6:23-4.
7. Gupta K, Dey P, Goldsmilth R, et al. Comparison ofcytologic features of giant-cell tumor and giant-cell tumor oftendon sheath. Diagn Cytopathol; 2004;30:14-8.
8. Batra VV, Jain S, Singh DK, et al. Cytomorphologic spectrumof giant cell tumor of tendon sheath. Acta Cytol 2008;52:152-8.
9. Lee IM. Touch imprint and fine needle aspiration cytology ofgiant cell tumor of tendon sheath – a case report. Korean JCytopathol 2008;19:57-64.
10. Srikanth S. Giant cell tumor of right index finger: fine needleaspiration cytology finding. Int J Health Allied Sci 2014;3:141-2.
11. Hegde S, Samartha V. Cytology of giant cell tumour of thetendon sheath – a diagnostic dilemma. IOSR-JMDS2016;15:70-2.