Özet:

Purpose: In this study, the aim was to evaluate the consistency with the pre-diagnosis of the phenomena that were performed with the mass diagnosis and the pathological diagnosis of the tendon cells-gigant tumor (TKDHT) and the effects of the pre-diagnosis. Instruments and Methods: From January 2013 to December 2015, 58 phenomena that were surgically exhausted and resulted from pathology TKDHT were examined retrospectively. The hospital registration system and patient files were recorded by scanning the data. The incidents were assessed in terms of age, gender, direction, localization, pre-diagnosis, pathological volume, tracking time and nickness. The data received was statistically examined. Results: The proportion of women/male cases was 3/2; the average age was 44.81±18.14 years and the average tracking time was 44.1±9.65 months. The masses with 31 right and 27 left settlements were almost all flexor percent localized. The pathological volume of the masses was an average of 2.09±0.89 cm3 (0.08-12) while the mass pathological volume of the 5 occurring phenomena (8.62) was an average of 2.46 cm3 (0.08-5.15). The preoperative pre-diagnosis was TKDHT in only 44.4 percent of known cases. The result: because hand-localized mass surgery is seen as a simple process, preoperative pre-preparations are often performed unconsciously. We believe that, without limiting the mass pre-diagnosis to clinical examination, the benefit from the examinations will reduce the net rates. The purpose of this study was to evaluate the diagnosis, compliance with the pre-diagnosis, and the effect of the pre-diagnosis recurrence of tendon sheath giant cell tumor (TSGCT) cases operated for hand mass. Materials and Methods: Fifty-eight patients who underwent surgical excision between January 2013 and December 2015 and TSGCT as a result of pathology were evaluated retrospectively. The hospital record system and patient files were scanned and the data were recorded. The cases were evaluated in regarding as age, sex, side, localization, pre-diagnosis, pathological volume, follow-up time and recurrence. The data obtained were analyzed statistically. Results: Female to male ratio was 3/2; the average age of the patients was 44.81 ± 18.14 years and the average follow-up was 44.1 ± 9.65 months. Almost all of the masses located at right hand in 31 cases. The average pathological volume of the masses was 2.09 ± 0.89 cm3 (0.08-12), whereas the average mass pathology volume of the recurrent 5 cases (8.62%) was 2.46 cm3 (0.08-5.15). Only 44.4% of the patients with known preoperative diagnosis were TSGCT. Conclusion: Preoperative preparation of hand localized mass surgery is often sloppy because it is seen as a simple procedure. We suggest that preoperative clinical examination should be supported by radiological examination in order to reduce recurrence rates. Keywords: Giant cell tumour; Soft tissue; Tendon sheath; Surgical treatment; Recurrence