The giant cell tumour of the proximal phalanx of the thumb treated by a 2-stage operation

We present a 29-year-old woman who was treated for a giant-cell tumour of her thumb. Surgicaltreatment was performed in two stages. In theŞrst stage, the tumour was removed and the Şrstmetacarpal and distal phalanges wereŞxed by an external Şxator. In the second stage of reconstructionof the thumb, a cortico-cancellous bone graft from the iliac crest, an externalŞxator and doublearthrodesis were used. This two-stage procedure provides the possibility for conŞrming the diagnosisand appropriate treatment choice and minimizes the risk of recurrence.© 2017 Turkish Association of Orthopaedics and Traumatology. Publishing services by Elsevier B.V. This isan open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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1. Athanasian EA, Wold LE, Amadio PC. Giant cell tumors of the bones of the hand. J Hand Surg. 1997;22A:91e98.

2. Averill RM, Smith RJ, Campbell CJ. Giant-cell tumors of the bones of the hand. J Hand Surg. 1980;5A:39e50.

3. Yanagisawa M, Okada K, Tajino T, Torigoe T, Kawai A, Nishida J. A clinicopathological study of giant cell tumor of small bones. Ups J Med Sci. 2011;116:265e268. http://dx.doi.org/10.3109/03009734.2011.596290.

4. Dahlin DC. Giant cell tumor of bone: high lights of 407 cases. AJR Am J Roentgenol. 1985;144:955e960.

5. Fnini S, Labsaili N, Messoudi A, Largab A. Giant cell tumor of the thumb proximal phalanx: resection-iliac graft and double arthrodesis. Chir Main. 2008;27:54e57. http://dx.doi.org/10.1016/j.main.2007.10.007.

6. Becker WT, Dohle J, Bernd L, et al. Local recurrence of giant cell tumor of bone after intralesional treatment with and without adjuvant therapy. J Bone Jt Surg Am. 2008;90:1060e1067. http://dx.doi.org/10.2106/JBJS.D.02771.

7. Trieb K, Bitzan P, Lang S, Dominkus M, Kotz R. Recurrence of curetted and bone-grafted giant-cell tumours with and without adjuvant phenol therapy. Eur J Surg Oncol. 2001;27:200e202.

8. Errani C, Ruggieri P, Asenzio MA, et al. Giant cell tumor of the extremity: a review of 349 cases from a single institution. Cancer Treat Rev. 2010;36:1e7. http://dx.doi.org/10.1016/j.ctrv.2009.09.002.

9. Jones KB, DeYoung BR, Morcuende JA, Buckwalter JA. Ethanol as a local adjuvant for giant cell tumor of bone. Iowa Orthop J. 2006;26:69e76.

10. Marcove RC, Weis LD, Vaghaiwalla MR, Pearson R, Huvos AG. Cryosurgery in the treatment of giant cell tumors of bone. A report of 52 consecutive cases. Cancer. 1978;41:957e969.

11. Malawer MM, Bickels J, Meller I, Buch RG, Henshaw RM, Kollender Y. Cryosurgery in the treatment of giant cell tumor. A long-term follow-up study. Clin Orthop Relat Res. 1999;359:176e188.

12. Algawahmed H, Turcotte R, Farrokhyar F, Ghert M. High-speed burring with and without the use of surgical adjuvants in the intralesional management of giant cell tumor of bone: a systematic review and meta-analysis. Sarcoma. 2010:5. http://dx.doi.org/10.1155/2010/586090. Article ID 586090.

13. Thomas S, Henshaw R, Skubitz K, et al. Denosumab in patients with giant cell tumour of bone:an open-label, phase 2 study. Oncol Lancet. 2010;11: 275e280.

14. Nouri H, Meherzi MH, Ouertatani M, et al. Use of calcitonin in giant cell tumors of bone. Orthop Traumatol Surg Res. 2011;97:520e526.

15. Balke M, Campanacci L, Gebert C, et al. Bisphosphonate treatment of aggressive primary, recur-rent and metastatic giant cell tumour of bone. BMC Cancer. 2010;10:462e470.

16. Gouin F, Dumaine V, French Sarcoma and Bone Tumor Study Groups GSF-GETO. Local recurrence after curettage treatment of giant cell tumors in peripheral bones: retrospective study by the GSF-GETO (French Sarcoma and Bone Tumor Study Groups). Orthop Traumatol Surg Res. 2013;99:S313eS318. http:// dx.doi.org/10.1016/j.otsr.2013.07.006.

17. Dickson BC, Li SQ, Wunder JS. Giant cell tumor of bone express p63. Mod Pathol. 2008;21:369e375.

18. Williams J, Hodari A, Janevski P, Siddiqui A. Recurrence of giant cell tumors in the hand: a prospective study. J Hand Surg. 2010;35A:451e456.

19. Scully SP, Mott MP, Temple HT, O'Keefe RJ, O'Donnell RJ, Mankin HJ. Late recurrence of giant-cell tumor of bone: a report of four cases. J Bone Jt Surg. 1994;76A:1231e1233.

20. Jackson K, Key CH, Fontaine M, Pope R. Recurrence of a giant cell tumor of the hand after 42 Years: case report. J Hand Surg. 2012;37A:783e786.
Acta Orthopaedica et Traumatologica Turcica-Cover
  • ISSN: 1017-995X
  • Başlangıç: 2015
  • Yayıncı: Türk Ortopedi ve Travmatoloji Derneği
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