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Year : 1987  |  Volume : 21  |  Issue : 1  |  Page : 1-9

Giant-Cell Tumour Of Bone (A Follow-Up Study Of 32 Cases)

Correspondence Address:
R. L Mittal

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From 1971 to 1984, 32 patients of giant-cell tumour of bone were treated in Rajendra Hospital, Patiala. There were 17 males and 15 females, their ages ranging from 15 to 72 years, with an average of 31 years. The majority (53%) belonged to third and fourth decades. Most of the tumours were located in the epiphyseal regions of long bones with lower end of the radius as the commonest site. Sixteen tumours were typical (grade I), 14 aggressive (grade II) and 2 malignant (grade III). The histopathologic grading proved to be of significance as regards the mode of treatment and the prognosis of the tumour. Various forms of treatment included curettage, en-bloc resection, radiation and amputation. Resection yielded the best results. Curettage should be done is cases who refuse radical surgery, after explaining the risks. Radiation therapy should be reserved for surgically inaccessible tumours and amputation for neglected tumours or multiple lesions in the same limb.

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