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무지 신전건에 발생한 섬유종: 증례 보고

Fibroma of the Extensor Digitorum Longus and Extensor Digitorum Brevis Conjoined Tendon Sheath: A Case Report

  • 박세진 (성균관대학교 의과대학 강북삼성병원 정형외과학교실) ;
  • 이인규 (성균관대학교 의과대학 강북삼성병원 정형외과학교실) ;
  • 조용운 (건국대학교 의과대학 건국대학교 충주병원 정형외과학교실)
  • Park, Se Jin (Department of Orthopaedic Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Lee, In Gyu (Department of Orthopaedic Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Cho, Yongun (Department of Orthopaedic Surgery, Konkuk University Chungju Hospital, Konkuk University College of Medicine)
  • 투고 : 2019.04.09
  • 심사 : 2019.06.03
  • 발행 : 2019.06.15

초록

Fibroma of the tendon sheath (FTS) was initially described in 1936 by Geschickter and Copeland as a benign firmed soft tissue tumor that is rare and less common than another soft tissue tumors, especially giant cell tumors (GCT) of the tendon sheath. The common distinct feature is a slow-growing least painful rare entity arising from the tendon or tendon sheath. FTS is detected mostly in the fingers, hands and wrists but less commonly in the foot. Very few cases of FTS have been described arising from a flexor tendon of the foot. This article describes a 51-year-old patient with FTS that developed in the extensor tendon of the foot, which is the only known FTS to form in this area. Heterogeneous low signal intensity in both the T1- and T2-weighted images was observed in magnetic resonance imaging. The lesion was excised completely by open surgery. Histologically, it showed randomly arranged, fibroblast-like spindle cells in dense fibrous tissue and had insufficient hemosiderin-laden macrophages that are typical for GCT.

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참고문헌

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