Fibroma of tendon sheath is an uncommon fibrous tumour that has a predilection for the hand. A biopsy specimen of a fibroma of tendon sheath was cultured after collagenase exposure leading to dissociation of the tissue. A special form is the keloid, which derives from hyperplastic growth of scars soft fibroma. Pdf fibroma of the tendon sheath a rare hand tumor. The hard fibroma fibroma durum consists of many fibres and few cells, e. Usp6 genetic rearrangements in cellular fibroma of tendon.
The tumor usually presents as a single, slowgrowing, firm, painless, small nodule, which strongly attaches to the tendon or tendon sheath and it is often localized on the hand, particularly on the thumb1,2. Methods this was a retrospective study of patients seven women, six men operated between july 2001 and may 20 for fts in planta. Fibroma of tendon sheathrarely originates from synovial membrane of joint capsule may be related to fibrous histiocytoma of tendon sheath due. A histopathological differential diagnosis of hemosiderotic fibrohistiocytic lipomatous lesiontumor hfllt and giantcell tumor of tendon sheath. A series of nine cases of fibroma of tendon sheath is described including details of the ultrastructural features of two cases. Fibroma of tendon sheath is a benign myofibroblastic neoplasm of the. Full text fibroma and giantcell tumor of tendon sheath. A tendon sheath fibroma is a benign tumor rarely identified in the lower extremity. Typical features include a wellcircumscribed lesion with a small diameter histopathology 20. Intraarticular fibroma of tendon sheath arising in the. May overlap with nodular fasciitis am j surg pathol 1989. Fibroma of tendon sheath as a cause of carpal tunnel syndrome. Well circumscribed, lobulated fibrous tumor attached to tendon or tendon sheath. Soepronos textbook is available on and includes detailed information on over 600 entities and includes four dvd diskettes with highresolution images that provide a virtual dermatopathology reference and guide.
The series was composed of lesions from six males and three females with a mean age of 38 yr. Fibroma of tendon sheath in planta springerplus full text. The cultured cells were harvested after 4 days and chromosome analysis done according to standard procedures. Usp6 genetic rearrangements in cellular fibroma of tendon sheath. It usually occurs in males between the age of 20 and 40 years old 1.
Originally described by geschickter and copeland, 1 fibroma of tendon sheath is a benign soft tissue tumor of the tenosynovial membranes, typically affecting the. It usually occurs in males between the age of 20 and 40 years old 1, 2. Immunohistochemical stains for s100 protein and ema are also very helpful, not only in the differential diagnosis between fibroma of tendon sheath and sclerosing peripheral nerve sheath tumour, but also the ultimate distinction between sclerosing neurofibroma and sclerosing perineurioma. The overall recurrence rate was 24% which is comparable to that of giant cell tumor of tendon sheath. Large series from histopathological units report a local recurrence rate. A 43yearold man presented with a painful mass in his right wrist, which. This was a retrospective study of patients seven women, six men operated between july 2001 and may 20 for fts in planta. A 53yearold man presented in 2009 with a tumor over the dorsum of his hand. Histologically, the mass is composed of tightly packed spindle cells surrounded by collagen fibers. Fibroma of the tendon sheath occurs in both adults and children, with 20% of cases occurring in children and adolescents. Fibroma of tendon sheath, multiple, reactive process introduction fibroma of the tendon sheath fts is a rare, benign soft tissue tumor1.
They are largely composed of interlacing bundles of. Giant cell tumor of tendon sheath or synovium nodular tenosynovitis is a common tumor that may present as either localized or diffuse disease. Wiley online library stephen evangelisti and vincent f. Fibroma of tendon sheath arising from the radioulnar joint.
Fibroma of the tendon sheath fts is a rare, benign soft tissue tumor 1. Fibroma of tendon sheath is a rare entity that is typically attached to the tendon sheath. A 53yearold man presented in 2009 with a tumor over the. The mass was densely adhered to the distal tendon of the biceps extraarticular around the elbow joint. Most such lesions on the hands are labeled fibroma of tendon sheath.
Fibroma of the tendon sheath is a rare differential. However, fts rarely arises around a large joint knee, shoulder, elbow, and ankle with intraarticular or extraarticular involvement. Fibroma of tendon sheath with 11q rearrangements anticancer. The primary differential is giant cell tumor of the tendon sheath, oftendistinguishable only by histopathology. Although fibroma of tendon sheath is typically sclerotic and nodular fasciitis is typically not, there is sufficient variation in patterns to cause overlap. Fibroma of the tendon sheath, is a slow growing benign tumor, most commonly presenting in the hand as a painless mass. Fibroma of the tendon sheath fts is a rare benign fibrous nodule associated with tendon or tendon sheath.
Fibroma of tendon sheath as a cause of carpal tunnel syndrome jaggi rao bsc, achilleas thoma md frcsc facs, sam salama mb frcpc department of surgery, division of plastic and reconstructive surgery, and department of pathology, st josephs hospital, mcmaster university, hamilton, ontario in 1949, geschickter and copeland 1 first described fi. A histopathological differential diagnosis of hemosiderotic fibrohistiocytic lipomatous lesiontumor hfllt and giantcell tumor of tendon. The most common site of involvement was the hand including fingers and the mean greater diameter was 19 mm. Other diagnostic terms used for this lesion include nodular or diffuse pigmented villonodular tenosynovitis, xanthogranuloma, benign synovioma, and fibrous histiocytoma of tendon sheath or synovium.
Mostly fibroma of the tendon sheath is found in the upper extremity in males and its peak incidence is from 2nd to 5th decades. Any information contained in this pdf file is automatically generated from digital material submitted. Approximately 82% of fts occur in the hand and wrist region. Lobular, circumscribed fibroblastic process of extremities stanford university. Fts is defined as a benign fibroblastic nodular neoplasm that arises from the synovium of a tendon sheath 3.
Printable fibroma of tendon sheath surgical pathology. The tumor usually presents as a single, slowgrowing, firm, painless, small nodule, which strongly attaches to the tendon or tendon sheath and it is often localized on the hand, particularly on the thumb 1, 2. Differential of a soft tissue mass of the tendon sheath epos. Tendon sheath fibroma mimicking submetatarsal bursitis. The purpose of our study was to describe the mr imaging characteristics of fibroma of the tendon sheath. A case of 14yearold male with fibroma of tendon sheath. Fibroma of the tendon sheath is a rare tumor described as a benign lesion or a tumorlike reactive lesion arising from the synovium of tendon sheath.
Fibroma of the tendon sheath in the knee radiology case. Ten out of 20 karyotyped cells showed an identical chromosome abnormality characterized by a t2. Initially described in 1936, fts is typically a slow growing, painless, firm mass with a predilection for the upper extremity, frequently involving the hand. Fibroma of the tendon sheath, a rare benign soft tissue tumor that most often occurs in the distal upper extremities hands and wrist, is exceedingly rare to present as an intraarticular mass. Fibroma of tendon sheath mimicking a corn a rare hand. Soeprono teaches and practices dermatopathology at loma linda university, school of medicine, department of dermatology. Fibroma of tendon sheath in planta is comparatively rare, and its differentiate diagnose, tumour features, treatment and complications were lack of retrospective study in clinics. Fibroma of tendon sheath in planta pubmed central pmc. Large series from histopathological units report a local recurrence rate of 24% after surgical excision. Presented here is the first case in the english literature, to our knowledge, of a fibroma of the tendon sheath arising in the acromioclavicular joint. Fibroma of tendon sheath fts was first described by geschickter et al. When compared with giant cell tumor of the tendon sheath, fibroma of the tendon sheath usually occurs in a slightly younger population 35.
Pathology of fibroma of tendon sheath dr sampurna roy md. Histologically these tumours are always well circumscribed and may be tabulated. Fibroma of the tendon sheath is manifested as a slowgrowing lesion in adults between the ages of 20 and 50 years mean age, 31 years, 24. Journal of clinical imaging science common soft tissue. Fibroma of tendon sheath fts is an uncommonly encountered soft tissue mass, which is morphologically distinct from the more commonly seen giant cell tumor of tendon sheath gctts. Fibroma of tendon sheath is a benign, uncommon tumor of the tendon sheath, which occurs in the hands wrist, fingers and feet of young and middleaged adults it is a slowgrowing mass, often present for years before being noticed. Pdf abstract fibroma of the tendon sheath fts is a rare, benign, soft tissue. Fibroma of tendon sheath is a rare, benign fibrous soft tissue tumor of unknown. Pathologic and mr imaging features of benign fibrous soft. When the lesions were removed, they resembled schwannomas. In the handorthopaedic surgery literature, fibroma of tendon sheath was generally reported as isolated case reports with unusual presentations. The lesion was removed and histology showed spindleshaped myofibroblasts in a collagen matrix with some hyalinisation and slitlike vascular channels. The diagnosis of fibroma of the tendon sheath can be suggested when mr imaging reveals a focal nodular mass adjacent to a tendon sheath with decreased signal on all pulse sequences and little or no enhancement. Specific fibromas include nonossifying fibroma, found in the large long bones.
1369 329 329 1441 886 437 859 584 222 1406 289 1185 1264 1433 668 1268 330 1053 1188 107 411 136 1382 1150 358 317 1324 411 1323 1462 1336 535 86 623 307 1194 997