Stephen Bird

Hi Xue,

This is a miscellaneous finding with a variety of possible differentials.

It still could be a GCT.

The GCT would arise from the tendon sheath itself rather than from the tendons within the sheath .

The tendons slide within a stationary sheath so if it was a GCT of the sheath I would expect to remain stationary just as this one does.

So it is behaving like something arising from the sheath.

It could also be arising from the palmar aponeurosis like a dupuytrens lesion.

It could also me a post traumatic lesion.

Many possibilities I think !

Let me know if you ever get a final diagnosis.


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