What happens during a giant cell tumor excision of a finger?

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On the channel as “Giant Cell Tumor Excision of Finger”

In this video Dr. Knight narrates the removal of a giant cell tumor from the back of a finger joint. He shows the tumor being lifted off the extensor tendon and the extension running down into the joint.

This is a transcript of a recorded talk from 2016. Any figures mentioned are from the recording and are not statements about current results or the practice.

Read the transcript 154 words

The transcript below is what Dr. Knight says in the video. We corrected the anatomy, drug and device names the automatic captions got wrong and added the punctuation and paragraph breaks. No words were changed, added or taken out. The uncorrected machine transcript is kept on file.

Transcript

Giant cell tumor excision. This patient had a lengthy history of a mass over the dorsal aspect of the DIP joint. MRI was consistent with a possible epidermal inclusion cyst or a giant cell tumor. You can see here I'm incising the skin over the mass sharply.

Now I'm reflecting the flaps. A small skin hook is placed, and now using scissors I'm carefully dissecting around the margins of the tumor. Consistency visually is that of a giant cell tumor. See, I'm lifting this off of the extensor tendon.

This shelled out nicely. It had one extension going down into the distal interphalangeal joint. See the last bit of tumor that's going out down into the joint.

Now exposing the DIP joint, moving the joint, looking at the articulation, with no further tumor. The pathology was that consistent with a giant cell tumor. As you can see, I'm cutting open the solid mass here.

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