Fibrous xanthomas* of the digital tendon sheath system are a common benign tumour. The varying recurrence rates cited in the literature have usually been attributed to inadequate surgical excision. However, Boyes (1964) has suggested “seeding” as a possible mechanism to explain persistence of the tumour. Our case of multiple fibrous xanthomas at different levels in a single digital sheath system is presented as an example of “seeding” along the tendon sheath.
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References
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BOYESJ. H. (1964) Editor: Bunnell's Surgery of the Hand, Fourth Edition, Philadelphia and Montreal 1964, J. B. Lippincott Company727.
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ELLIOTTR. A.Jr. (1974) Unusual Problems of the Hand in Children. In American Society of Plastic and Reconstructive Surgeons. Symposium on Reconstructive Hand Surgery, St. Louis, C. V. Mosby Company, p. 188.
