gms | German Medical Science

54. Jahrestagung der Norddeutschen Orthopädenvereinigung e. V.

Norddeutsche Orthopädenvereinigung

16.06. bis 18.06.2005, Hamburg

Teno-synovial giantcell-tumors: a follow-up study

Meeting Abstract

Suche in Medline nach

  • corresponding author J. Bruns - Universitätsklinikum Hamburg, Klinik u. Poliklinik f. Orthopädie, Hamburg
  • A. Luetkenhues - Hamburg

Norddeutsche Orthopädenvereinigung. 54. Jahrestagung der Norddeutschen Orthopädenvereinigung e.V.. Hamburg, 16.-18.06.2005. Düsseldorf, Köln: German Medical Science; 2005. Doc05novEP84

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/nov2005/05nov157.shtml

Veröffentlicht: 13. Juni 2005

© 2005 Bruns et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Teno-synovial giantcell tumor (TSGT) is a rare disease of joint and other synovial tissues. These tumors occur in as circumsribed and in a diffuse form.

The etiology of this benign tumor is still unknown.

Surgical treatment with complete resection in cases with circumscribed forms and compelte synovectomy in cases of the dissue form are recommended.

We report a follow-up of 54 patients treated siurgically between 1960 and 1997.

The mean age was 37.3 years (range, 2-80), the ratio male : female 25:29.

43 patients suffered from the diffus and 11 from the circumscribed TSGT.

Anatomically, mostly the knee joint was involved in both.

Circumscribed TSGT had been treatged by local resection, diffus TSGT with synovectomy.

Follow-up examination of these patients exhibited: excellent/good: 31/53 (58.5%); fair in 34% and poor in 4/53 (7.5%). The rate of recurrence was 21%, all in diffuse TSGT.

Adjuvant radiotherapy was given in 5 patients but had no influence on the long-term follow-up.

Conclusion

Surgical treatment of TSGT is sufficient in the circumscribed form.

All recurrences occured in the diffus form. Regarding the role of adjuvant strategies such as radiotherapy or radio-synoviorthesis no reliable data exist.

Our rate of recurrence is nearly 10% lower than that reported in the literature.