Documente Academic
Documente Profesional
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FRQUENCE, PIDMIOLOGIE ?
Kyste synoviaux
1024
Kystes mucodes
192
Tumeurs C. gantes 173
Tumeurs Glomiques 79
Chondromes
73
Schwannomes
44
Kystes Sbacs
41
Fibrome
23
Divers 3%
Nerf 3%
Lipome 4%
Glomique 5%
Vasculaire 5%
K.synovial
59%
SNVP 10%
K.mucode
11%
119
11
Rpartition de 96 TCG
(Lancigu et al. OTSR 2013)
Plutt les trois premiers doigts
ge moyen: 40-50 ans
1 cas / 50,000 habitants
Prdominance fminine
PHYSIOPATHOLOGIE
INCONNUE
On a voqu:
Inflammation
DEUX TYPES
Diffuse
DIAGNOSTIC ?
DIAGNOSTIC
DIAGNOSTIC
TRAITEMENT
Chirurgical:
ASPECT PEROPRATOIRE
Nodulaire (45%) ou
multilobul (55%)
Aspect jaune-brun
caractristique
RCIDIVES
Lsion intra-articulaire
Erosion tendineuse
Lancigu R et al. Giant cell tumors of the tendon sheaths in the hand: Review of 96 patients with an average follow-up of 12
years. Orthopaedics & Traumatology: Surgery & Research (2013) 99S, S251S254
Daprs Williams J et al. Recurrence of Giant Cell Tumors in the Hand: A Prospective Study . J Hand Surg
2010;35A:451456.
RSULTATS
RSULTATS