Local recurrences after excision of a @entity2967 are classically related to incomplete excision. We have review a special group of circumferential @entity5 excised through a huge approach. Twenty-six circumferential @entity5 were excised between 1985 and 1998, through a special incision described by the senior author. It is composed of four triangular flaps drawn around the finger, one dorsal, one palmar (both proximally based) and two lateral (distally based). Six presented already with a recurrence of previous operations (mean 2.5 interventions). Some anatomical neighboring structure was "invaded" in all except one case. However the approach allows for a macroscopically satisfactory excision. Twenty-five @entity1 were reviewed by an independent observator after a mean follow-up of six years. Six @entity1 (24%) presented a recurrence after a mean postoperative delay of 17 months. Among them five have been already operated (83%) and five had @entity5 . Satisfactory excision does not prevent recurrence and two types of distinct @entity5 exist. Recent immunohistological studies give support to this view and such examination is recommended.

[Recurrence of finger XXXX after excision through a "shark teeth" approach. Report of 25 cases].

@entity5 :: ('MESH:D009369', 'Disease') :: ['multiple tumors', 'tumors'] @entity1 :: ('9606', 'Species') :: ['patients'] @entity2967 :: ('MESH:D005870', 'Disease') :: ['giant cell tumor of the tendon sheath']
@entity2967 :: (MESH:D005870,Disease) :: ['tendon giant cell tumors']
