Archives of Orthopaedic and Trauma Surgery

, Volume 128, Issue 2, pp 155–158 | Cite as

Infiltration of the pes anserinus complex by an extraarticular diffuse-type giant cell tumor (D-TGCT)

  • Pierre HeppEmail author
  • Thomas Engel
  • Bastian Marquass
  • Thomas Aigner
  • Christoph Josten
  • Manuel Niederhagen
Orthopaedic Surgery


This report describes the case of a 26-year-old woman with a recurrent extraarticular diffuse-type tenosynovial giant cell tumor (D-TGCT) of the medial region of the knee affecting the pes anserinus and hamstring tendons. Presurgical MRI did not exclude infiltrative properties of the tumor. In the histological evaluation, the tumor showed an aggressive dispersion by infiltrating the collagenous tissue of the hamstring tendons. The treatment included a resection of the pes anserinus complex with distal semitendinosus and gracilis tendons. Regarding extraarticular D-TGCT a review of the literature showed a predominant affection of the medial region of the knee and thigh.


Extraarticular tenosynovial diffuse-type giant cell tumor Pigmented villonodular synovitis Knee 


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Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Pierre Hepp
    • 1
    Email author
  • Thomas Engel
    • 1
  • Bastian Marquass
    • 1
  • Thomas Aigner
    • 2
  • Christoph Josten
    • 1
  • Manuel Niederhagen
    • 2
  1. 1.Department of Trauma and Reconstructive SurgeryUniversity of LeipzigLeipzigGermany
  2. 2.Department of PathologyUniversity of LeipzigLeipzigGermany

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