Benign Giant Cell Tumor of the Foot Originating from Talonavicular Joint

Hakan Cift, Korhan Ozkan, Serkan Senol, Esat Uygur, Harzem Ozger

Department of Orthopaedic and Traumatology, Istanbul Medeniyet University Goztepe Education and Research Hospital, ?stanbul, Turkey.
Department of Orthopaedic and Traumatology, Istanbul University ?stanbul Faculty of Medicine, ?stanbul, Turkey.
Department of Pathology, Istanbul Medeniyet University Goztepe Education and Research Hospital, ?stanbul, Turkey.

DOI: 10.4236/ojo.2012.22011                

Abstract

Benign Giant Cell Tumor is a relatively common benign lesion which usually appears as an enlarging painless mass and has a synovial origin. Although benign giant cell tumors generally involve tendon sheaths, they are infrequently documented in the foot. A 45 years old female presented with a complaint of a lump on the top of her left foot. Under general anesthesia with a pneumatic tourtniquet the mass excised with great care not to leave any residual tumor tissue that can cause recurrence. Benign giant cell tumor of the foot can be associated with talonavicular joint capsule which can be detected with MRI imaging and total excision of the lesion is mandatory to prevent recurrence.

Keywords

Giant Cell Tumor; Talonavicular Joint

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	R. Eisenstein, “Giant Cell Tumor of Tendon Sheath,” Journal of Bone and Joint Surgery, Vol. 50A, 1968, pp. 476-485.
[2]	F. M. Enzinger and S. W. Weiss, “Benign Tumors and Tumor-Like Lesions of Synovial Tissue,” In: F. M. Enzinger and S. W. Weiss, Eds., Soft Tissue Tumors, Mosby Publisher, Missouri, 1988, pp. 639-645.
[3]	B. Yanklowitz, “Giant Cell Tumor of Tendon Sheath,” Journal of the American Planning Association, Vol. 68, No. 10, 1978, pp. 706-711.
[4]	B. W. Butler and J. M. Mccarty, “Benign Giant Cell Tumor of the Foot,” The Journal of Foot and Ankle Surgery, Vol. 32, No. 3, 1993, pp. 299-304.
[5]	C. Villani, G. Tucci, M. Di Mille, S. Di Gennaro and A. Corsi, “Extra-articular Localized Nodularsynovitis (Giant Cell Tumor of Tendon Sheath) Attached to the Subtalar Joint,” Foot Ankle International, Vol. 17, No. 7, 1996, pp. 413-416.
[6]	D. G. Sheppard, E. E. Kim, A. W. Yasko and A. Ayala, “Giant Cell Tumor of the Tendon Sheath Arising from the Posterior Cruciate Ligament of the Knee: A Case Report and Review of the Literature,” Clinical Imaging, Vol. 22, No. 6, 1998, pp. 428-430. doi:10.1016/S0899-7071(98)00030-8
[7]	L. Thaxton, A. F. AbuRahma, H. H. Chang and J. P. Boland, “Localized Giant Cell Tumor of Tendon Sheath of Upper Back,” Surgery, Vol. 118, No. 5, 1995, pp. 901- 903. doi:10.1016/S0039-6060(05)80282-X
[8]	A. S. Rao and V. J. Vigorita, “Pigmented Villonodular Synovitis (Giant Cell Tumor of the Tendon Sheath of the Synovial Membrane). A Review of Eighty One Cases,” Journal of Bone and Joint Surgery, American Volumn, Vol. 66, No. 1, 1984, pp. 76-94