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Year : 1987  |  Volume : 21  |  Issue : 1  |  Page : 10-17

Giant Cell Tumour Of Bone-A Clinico-Pathological Study



Correspondence Address:
R Bhalla


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Twenty-five cases of giant-cell tumour of bone were graded histologically into grade I-10, grade II-8, and grade III-7. Patients were treated by curettage and autologous bone grafting (6), resection with or without reconstruction (7), amputation (10), and by radiation therapy preceded by curettage (dorsal spine-one, sacrum-one). Only one case of grade II from the phalanx showed local recurrence and pulmonary metastases. For small tumours without unfavourable features curettage and bone grafting gave good results with retention of joint function. For tumours of grade II resection should be right choice. For grade III tumours and any grade with complications like fungation, extensive size and pathological fracture amputation should be considered. Radiation was used only for non-accessible sites (axial skeleton).


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