Tenosynovial fibroma, also known as giant cell tumor of the tendon sheath, is more common in young people, with a higher proportion of women than men. Tenosynovial fibroma is more common in the fingers and hands, and less common in the toes. It can be single or multiple, and the most common site is the synovium of the tendon sheath and bursa, and it can also exist in non-synovial areas. Tenosynovial fibroma is a solid, painless mass that can invade adjacent bones. In most cases, tenosynovial fibroma is a benign tumor, and it is rare for it to develop into a malignant tumor. Although tendon sheath fibroma will not turn into cancer in most cases and grows slowly, it may invade the adjacent bones, affect the flexion and extension of the patient's fingers and joints, and may cause varying degrees of joint damage. Patients with tendon sheath fibroma should receive treatment under the guidance of a doctor as soon as possible. Generally speaking, there is no drug treatment for tendon sheath fibroma, and surgical resection is currently the most effective treatment method. It can be divided into the following three types. 1. Simple complete tumor resection. Complete tumor removal can reduce the possibility of postoperative recurrence. The operation method is generally to separate along the tumor capsule, and the entire tumor, as well as the surrounding tendon sheath and synovial tissue, can be removed. 2. Complete tumor resection combined with bone scraping. This method is generally used for tumors that have already compressed the bone surface or even caused bone damage. Bone scraping is performed after the tumor has been completely removed. 3. Local extended resection. This method is relatively rare and is mainly used for patients who may have malignant lesions. It involves the removal of the entire tumor, synovium, tendon sheath, and part of the tendon. From the above content, you can know that the chance of tenosynovial fibroma becoming cancerous is quite rare. In most cases, it is a benign tumor and can be treated surgically under the guidance of a professional doctor. It is generally believed that the cause of tenosynovial fibroma is still unclear. It may be related to trauma and repeated mild stimulation. There is also the possibility of postoperative recurrence. Patients with tenosynovial fibroma should pay attention to postoperative rest and maintenance of the affected area. If there is any discomfort, follow up as soon as possible. |
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