Home About Journal AHEAD OF PRINT Current Issue Back Issues Instructions Submission Search Subscribe Blog    
Login 

Users Online: 42 
Print this page  Email this page Small font sizeDefault font sizeIncrease font size 
SYMPOSIUM - GIANT CELL TUMOR
Year : 2007  |  Volume : 41  |  Issue : 2  |  Page : 139-145

Giant cell tumor - distal end radius: Do we know the answer?


1 Bone and Soft Tissue Unit, Dept. of Surgical Oncology, Tata Memorial Hospital, Parel, Mumbai, India
2 Orthopaedic Oncologist, Dept. of Surgical Oncology, Tata Memorial Hospital, Parel, Mumbai, India

Correspondence Address:
Ajay Puri
Pvt. O.P.D. Room No. 26, Tata Memorial Hospital, Dr. Ernest Borges Road, Parel, Mumbai - 400 012
India
Login to access the Email id


DOI: 10.4103/0019-5413.32046

PMID: 21139767

Get Permissions

Background: The distal end of the radius is one of the common sites of involvement in giant cell tumors (GCTs) with reportedly increased propensity of recurrence. The objective of the present analysis was to study the modalities of management of the different types of distal end radius GCTs so as to minimize the recurrence rates and retain adequate function. Materials and methods: Twenty-four patients of distal end radius GCTs treated between January 2000 and December 2004 were retrospectively reviewed. Nineteen cases were available for follow-up with an average follow-up of 37.5 months. There was one Campanacci Grade 1 lesion, nine Grade 2 and 14 Grade 3 lesions. Thirteen (54%) of these patients were treated elsewhere earlier and presented with recurrence. The operative procedures that were performed were: curettage and cementing (five), curettage and bone grafting (seven), excision and proximal fibular arthroplasty (two), excision and wrist arthrodesis (nine) and excision of soft tissue recurrence (one). Results: Functional status was evaluated using Musculo Skeletal Tumor Society scoring system which averaged 78%. The recurrence rate was 32%. Complications included local recurrence (six), nonunion at the graft bone junction (one), infection (one), deformity (two), stiffness (two), subluxation (two) and bony metastasis (one). Conclusions: The majority of patients undergoing curettage were either Campanacci Grade 1 or 2. Patients undergoing curettage and reconstruction had a better functional result (82%) as compared to arthrodesis or fibular arthroplasty (69%). Previous intervention did not appear to increase the recurrence rates. Even though complications occur, judicious decision-making and an appropriate treatment plan can ensure a satisfactory outcome in the majority of cases.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed6049    
    Printed133    
    Emailed2    
    PDF Downloaded430    
    Comments [Add]    
    Cited by others 4    

Recommend this journal