Clinical Example: Giant Cell Tumor of Fingertip Pulp

Giant cell tumors (GCT) are one of the more common tumors arising in the hand. GCT involving only soft tissues are less likely to recur than intraosseous GCT, and may be treated effectively by complete excision. Soft tissue GCT commonly arise from tendon sheath or joint capsular structures and may extend into joint or tendon sheath spaces. 
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This patient presented with a painless fingertip mass, enlarging over several years. Plain Xrays showed only soft tissue enlargement. The pulp figerprints are stretched and flattened, consistent with lack of local edema or inflammation.
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A midline volar logitudinal incision was used, which is an internervous plane of sorts.
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Typical picture of a giant cell tumor - lobulated, hard rubbery consistency, speckled yellow-orange to brown.
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Late result after closure with tiny Z-plasties (which probably added nothing to the final outcome).
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