Pervaiz Ahmed Aftab, Nasser Rashid Dar, Shahid Majeed.
Asymmetrical multifocal giant cell tumor of the tendon sheath - an uncommon entity.
Pak Armed Forces Med J Jan ;57(4):330-1.

A fifty five years old lady presented with a slowly growing firm, asymptomatic lobulated nodular swelling on the lateral side of the distal inter phalangeal joint of left little finger for the last three years. For the last one year she noticed another swelling with similar characters on the lateral side of right index finger just proximal to the meta-carpo phalangeal joint. There was no other complaint. Clinical diagnosis at that time included implantation epidermoid cysts. Both of the lesions were excised under local anesthesia and submitted for histopathology. The histopathology from both specimens revealed plump histiocytes laden with hemosiderin and fat. Multiple giant cells were seen with haphazardly arranged nuclei . The tumor was surrounded by a capsule. The findings were consistent with a diagnosis of giant cell tumor of the tendon sheath. The patient was lost to follow up.

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