A Multifocal Recurrent Large Giant Cell Tumor of the Tendon Sheath of Flexor Tendon: A Rare Case in the Hand of 22-year-old Female.

Background: Giant cell tumor of the tendon sheath (GCTTS) is one of the common tumors of the hand, second only to a simple ganglionic cyst. It can arise from the synovium of joint, bursa, or tendon sheath. Two-thirds of the tumors occur on the volar aspect of fingers. GCTTS in palm is extremely rare. Recurrence of GCTTS is also rare.

Methods: We report a 22-year-old female patient who presented to us with palmar swelling on the right hand for 6 years and operated with excision 4 years ago and having a recurrent larger swelling 8 months after the surgery. She was operated with tumor excision supported with marginal excision of the tumor. Follow-up at 1 year showed no recurrence with satisfactory outcome.

Conclusions: GCTTS of the palm is rare. GCTTS recurrences are rarer. This was a recurrence of the rare palmar GCTTS of an unusually large size with secondary contracture which was successfully managed without recurrence and improvement from pre-operative hand functions.