NDLI: Giant cell tumours in fingers among the Inuit population in Greenland

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Giant cell tumours in fingers among the Inuit population in Greenland

Content Provider	Taylor & Francis Online
Author	Hougaard, Kjeld Duelund, Nick
Abstract	ObjectiveGiant cell tumours (GCTs) of the tendon sheets in fingers are rare. We therefore find it of interest to report on 5 cases identified in the Inuit population in Greenland within 16 months prior to this study.Material and methodsThe Inuit account for 56,000 people of the total population in Greenland. From November 2010 to 16 months prior to this study, we diagnosed 5 cases (0.6% of all orthopaedic operations) with a GCT of the flexor tendon sheet of a finger. The patients were aged between 10 and 54 years, and 4 were women. All of them had noticed slow-growing tumours over 3 or more years and were referred for a suspected ganglion.ResultsIn two cases, the tumour was located at the distal interphalangeal (DIP) joint in the thumb and in one case at the third finger. Two other patients had tumours at the metacarpophalangeal (MCP) joint of the third finger and the thumb, respectively; one of these two had a communicating tumour to the DIP joint. The last patient had two tumours on the same finger, one at the MCP joint and the other at the DIP joint. In one case, the tumour had also eroded the cortex of the first phalanx of the thumb, and the largest tumour measured 5 cm.ConclusionGCTs of the flexor tendon sheets in fingers are rare. It could be a coincidence that we have seen 5 cases within a short period of time. It is not possible to identify past cases through a register. A tumour in a finger is not the most common location for a ganglion, especially not at the DIP level. Therefore, a large tumour at this location is more likely to be a GCT.
File Format	PDF HTM / HTML
ISSN	22423982
DOI	10.3402/ijch.v75.31285
Journal	International Journal of Circumpolar Health
Volume Number	75
Issue Number	1
Language	English
Publisher	Taylor & Francis
Publisher Date	2016-04-05
Access Restriction	Open
Subject Keyword	Orthopaedic hand surgery Arctic Native Benign tumour Slow growing
Content Type	Text
Subject	Health (social science) Public Health, Environmental and Occupational Health Epidemiology

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