Concluded Case

35 years female with swelling on Right Index Finger for 2 years....no history of Trauma... O/E-temperature normal, non tender,firm in consistency, fixed, X ray show no bony involvement.. how to manage ?

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Concluded answer

Giant cell tumor of synovial sheath. Need to excise tumor and affected synovial sheath. Otherwise tumor will recur. Take care of neurovascular bundle. If you are not sure about the diagnosis. Then do MRI to evaluate anatomy and plan plane of dissection. To be done under tourniquet for bloodless operating field for proper anatomical identification. If not properly done. One may loose the finger

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*LIPOMA.. *FIBROMA.. *ARTHRITIC NODE/ BOUCHARD'S NODE'S.. *EPIDERMOID CYST.. BETTER TO EVALUATE WITH.. USG STUDY.. FNAC..

Giant cell tumor of synovial sheath. Need to excise tumor and affected synovial sheath. Otherwise tumor will recur. Take care of neurovascular bundle. If you are not sure about the diagnosis. Then do MRI to evaluate anatomy and plan plane of dissection. To be done under tourniquet for bloodless operating field for proper anatomical identification. If not properly done. One may loose the finger

Thank you doctor
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Get a USG Done and this should be excised taking care of neurovascular bundle Take your plastic surgery colleague's help

Implantation dermoid

It is from soft tissue USG will clear it Excision Care for nerve and vessel

Consider epidermal inclusion cyst Excision biopsy

Giant cell tumour of synovial sheath. Excision

May be a case giant cell tumor ,get MRI, do wide local excision

Possibly ,Giant cell tumour of tendon sheath.

Tendon cyst i & d under local

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