Tendon Tumors: Causes, Symptoms, and Treatment Options

Q: Tendon Tumors: Causes, Symptoms, and Treatment Options

Hello： In response to your question, since you have already undergone surgery, please return for a follow-up appointment as soon as possible if you have any concerns. <br>Your attending physician understands your situation best and should be able to address your issues. <br>To re

Tendinopathy

I previously had an unknown growth on the back of my hand, which often felt sore and painful.
After seeing a doctor and getting an X-ray, I discovered it was a tendon tumor that was quite extensive.
As a result, I underwent surgery, and now my entire hand looks swollen and mushroom-like.
I'm not sure what to do; is this normal? Please help, worried little beauty.

Xiao Meiren, 30~39 year old female. Ask Date: 2006/10/31

Dr. Li Wenlin reply Orthopedics

Hello: In response to your question, since you have already undergone surgery, please return for a follow-up appointment as soon as possible if you have any concerns.
Your attending physician understands your situation best and should be able to address your issues.
To reduce swelling in your hand, elevate it (above heart level) and actively move it (such as making a fist and moving your fingers).
This should help decrease the swelling; if it does not improve, you should return for a follow-up appointment promptly.

Reply Date: 2006/10/31

More Info

Tendon tumors, also known as tendon sheath tumors, can be a source of discomfort and concern for many patients. These tumors can arise from the tendon sheath, which is the protective covering surrounding tendons. Understanding the causes, symptoms, and treatment options for tendon tumors is essential for managing this condition effectively.

Causes of Tendon Tumors
The exact cause of tendon tumors is often unknown. However, several factors may contribute to their development:
1. Genetic Predisposition: Some individuals may have a genetic tendency to develop tumors, including those in the tendon sheath.

2. Trauma: Previous injuries to the tendon or surrounding tissues may increase the likelihood of tumor formation.

3. Chronic Irritation: Repetitive stress or irritation to the tendon can lead to changes in the tissue, potentially resulting in tumor growth.

4. Age: Tendon tumors are more commonly diagnosed in adults, particularly those between the ages of 20 and 50.

Symptoms of Tendon Tumors
Patients with tendon tumors may experience a variety of symptoms, including:
- Pain: This is often the most prominent symptom. The pain may be localized to the area of the tumor and can worsen with activity.

- Swelling: A noticeable lump or swelling may develop over the affected tendon.

- Limited Range of Motion: Depending on the size and location of the tumor, patients may experience difficulty moving the affected joint.

- Tenderness: The area around the tumor may be sensitive to touch.

In your case, the presence of a lump on your hand that causes pain and discomfort is consistent with the symptoms of a tendon tumor.

Diagnosis
Diagnosis typically involves a combination of physical examination and imaging studies. X-rays, MRI, or ultrasound can help visualize the tumor and assess its size and extent. A biopsy may also be performed to determine the tumor's nature (benign or malignant).

Treatment Options
Treatment for tendon tumors depends on several factors, including the tumor's size, location, and whether it is causing significant symptoms. Common treatment options include:
1. Observation: If the tumor is small and not causing significant pain or dysfunction, a "watch and wait" approach may be recommended.

2. Surgical Removal: If the tumor is large, symptomatic, or causing functional impairment, surgical excision is often the preferred treatment. The goal is to remove the tumor while preserving as much surrounding tissue and function as possible.

3. Physical Therapy: Post-surgery, physical therapy may be necessary to regain strength and mobility in the affected area.

4. Pain Management: Medications or injections may be used to manage pain associated with the tumor.

Recovery and Prognosis
Recovery from surgery can vary depending on the extent of the procedure and individual healing rates. It is not uncommon for the hand to appear swollen or bruised post-surgery, resembling a "mushroom" as you described. This is often a normal part of the healing process. However, if you experience persistent pain, swelling, or any new symptoms, it is crucial to follow up with your healthcare provider.

In general, the prognosis for benign tendon tumors is good, especially when they are completely excised. Regular follow-up appointments may be necessary to monitor for any recurrence or complications.

Conclusion
If you have concerns about your recovery or the appearance of your hand post-surgery, it is essential to communicate openly with your healthcare provider. They can provide personalized advice and reassurance based on your specific situation. Remember, understanding your condition and treatment options is vital for your overall well-being.

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