Giant cell tumours of the proximal fibula

Twenty-one patients underwent excision of a Campanacci grade III giant cell tumour of the distal radius and had reconstruction using a proximal fibula autograft. We compared the functional results of wrist arthrodesis versus arthroplasty. All 21 patients healed in an average of 8 months, and all have remained disease free. The Musculoskeletal Tumor Society 93, the Disabilities of the Arm, Shoulder, and Hand scores and the grip strength of the operated wrist compared with the contralateral wrist were 93%, 7, and 71% for the arthrodesis group and 83%, 17, and 40% for the arthroplasty group. Arthrodesis of the reconstructed radiocarpal joint provided better grip strength and functional outcomes than arthroplasty. Level of evidence: III

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Curettage and reconstruction by the sandwich technique for giant cell tumours around the knee

International Journal of Orthopaedics Sciences ◽

10.22271/ortho.2021.v7.i4c.2879 ◽

2021 ◽

Vol 7 (4) ◽

pp. 170-172

Author(s):

Dr. M Sai Ashok ◽

Dr. Sandeep Saraf ◽

Dr. Kranthi Kiran Sanapala ◽

Dr. Marthala Ranganath

Keyword(s):

Giant Cell ◽

Sandwich Technique ◽

Giant Cell Tumours

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Severity classification of Tenosynovial Giant Cell Tumours on MR imaging

Surgical Oncology ◽

10.1016/j.suronc.2018.07.002 ◽

2018 ◽

Vol 27 (3) ◽

pp. 544-550 ◽

Cited By ~ 10

Author(s):

M.J.L. Mastboom ◽

F.G.M. Verspoor ◽

D.F. Hanff ◽

M.G.J. Gademan ◽

P.D.S. Dijkstra ◽

...

Keyword(s):

Mr Imaging ◽

Giant Cell ◽

Severity Classification ◽

Giant Cell Tumours

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Giant cell tumours in mandible and spine: a rare complication of Paget's disease of bone.

Annals of the Rheumatic Diseases ◽

10.1136/ard.51.12.1335 ◽

1992 ◽

Vol 51 (12) ◽

pp. 1335-1337 ◽

Cited By ~ 15

Author(s):

M Bhambhani ◽

B G Lamberty ◽

M R Clements ◽

S J Skingle ◽

A J Crisp

Keyword(s):

Giant Cell ◽

Rare Complication ◽

Paget’S Disease ◽

Paget's Disease ◽

Paget’S Disease Of Bone ◽

Paget's Disease Of Bone ◽

Giant Cell Tumours

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Clinical outcome of operative treatment in 18 cases of giant cell tumors of bones

Journal of Chitwan Medical College ◽

10.3126/jcmc.v10i2.29677 ◽

2020 ◽

Vol 10 (2) ◽

pp. 67-71

Author(s):

Suresh Pandey

Keyword(s):

Clinical Outcome ◽

Giant Cell ◽

De Novo ◽

Excellent Result ◽

Giant Cell Tumors ◽

Musculoskeletal Tumor ◽

Musculoskeletal Tumor Society ◽

Non Union ◽

Proximal Fibula

Background: Giant Cell Tumor of the bone (GCTB) has got variable outcome after the different methods of surgical treatment depending upon the site and grade of lesion and extent of tumor removal. This retrospective prospective analysis of operatively treated cases of GCTB of different sites aimed to highlight the clinical outcome. Methods: This was a prospective observational study of 18 cases of GCTB; proximal tibia (n=6), distal femur (n=5), distal radius (n=4), proximal femur (n=1), proximal fibula (n=1) and anterior arc of first rib (n=1) treated with different operative management with mean follow up of 53.61 months. Functional outcome with Musculoskeletal Tumor Society Score (MSTS), recurrence and complications were analyzed with at least 24 months of follow up. Results: There were 10 females and 8 males with average age at presentation 27.3 years (range 15-38). Average duration of symptom was 4.72 months. 2 were cases of recurrence previously operated and 16 were de novo cases. Mean MSTS was 84.27% with good to excellent result in 88%. There were no non-union, graft failure, metastasis, prosthetic failure or wound infection till at least 24 months of follow up in any of the cases. Conclusions: Extended curettage or reconstruction with auto graft in grade I and II tumor or endoprosthesis in higher grade or recurrence of GCTB can give good to excellent functional result in majority of the cases.

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Tenosynovial giant cell tumours of the hand: A multicentre case-control study

Journal of Plastic Reconstructive & Aesthetic Surgery ◽

10.1016/j.bjps.2019.01.021 ◽

2019 ◽

Vol 72 (6) ◽

pp. 918-923 ◽

Cited By ~ 2

Author(s):

L.S. Linney ◽

F. Al-Hassani ◽

J. Pikturnaite ◽

B. Mathew ◽

D. Thornton ◽

...

Keyword(s):

Giant Cell ◽

Case Control Study ◽

Case Control ◽

Giant Cell Tumours ◽

Control Study

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A Case Report of Giant Cell Tumor of Proximal Fibula in Children

Nepalese Journal of Cancer ◽

10.3126/njc.v4i1.31783 ◽

2020 ◽

Vol 4 (1) ◽

pp. 64-67

Author(s):

Sushil Adhikari ◽

Arun Sigdel ◽

Rajesh Kumar Sah ◽

Luna Devkota

Keyword(s):

Giant Cell Tumor ◽

Giant Cell ◽

Cell Tumor ◽

Long Bone ◽

Lytic Lesion ◽

Radiographic Appearance ◽

X Ray ◽

Proximal Fibula ◽

Aggressive Tumor

Giant cell tumour (GCT) is histopathologically benign tumor of long bone particularly in distal femur and the proximal tibia. It commonly occurs in adults of age 20-40 years but rare in children. GCT is considered to be locally aggressive tumor and tendency of recurrence is higher even after surgery. The clinical features are nonspecific, the principle symptoms are pain, swelling and limiting adjacent joint movements. Diagnosis is based on the radiographic appearance and histopathological findings .In our case X-ray showed ill defined lytic lesion on proximal fibula with cortical thinning and MRI finding revealed expansile lyticlesion in meta-epiphysis of right fibula 16×16×28mm adjacent to growth plate with fluid level. The sclerotic rim appears hypo intense on T1 & hyper intense on T2. Core needle biopsy showed giant cell tumor on proximal fibula. Considering the risk of recurrence wide local excision was done. Management of GCT of proximal fibula in young patient is critical for preventing recurrence and enhancing functional outcomes by saving adjacent anatomical structure. No evidence of local recurrence and metastasis was found in 24 months of follow up.

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