# A Giant Cell Tumor of the Tendon Sheath of the Foot: A Rare Presentation

## TL;DR

A rare case of a giant cell tumor in the foot is reported, highlighting its unusual location and management challenges.

## Contribution

This paper presents a rare occurrence of GCTTS in the foot, expanding clinical understanding of its presentation.

## Key findings

- GCTTS typically occurs in the hand but was found in the foot of a 54-year-old female.
- The tumor was diagnosed via ultrasonography and surgically managed due to its size and location.
- The case emphasizes the locally aggressive nature and diagnostic complexity of GCTTS.

## Abstract

A giant cell tumor of the tendon sheath (GCTTS) is a benign tumor that can occur in the joint synovium, bursae, or tendon sheath. It generally emerges in the tendons/synovium of the bones of the hand. It has unique characteristics, as noted in histopathological, clinical, and published literature. GCTTS has been reported across different age groups, with higher incidence observed in middle-aged adults. We present an unusual occurrence of GCTTS arising from the foot in a 54-year-old female who visited our medical facility with a history of swelling in her right foot for one year. Ultrasonography suggested a well-defined 5 x 4 cm lesion deep to the flexor tendon with possible intertarsal extension, which was managed surgically. This article represents a detailed understanding of GCTTS, emphasizing its benign yet locally aggressive nature and the complexities involved in its diagnosis and management.