Introduction: Giant cell tumour (GCT) is a benign osteolytic, locally aggressive lesion. Seen in young adults at the epiphysis. The most common site is long bones (85-90%). GCT of the metatarsal in elderly patients is very rare. Case Report: A 60-year-old male came with complaints of pain and swelling over right foot dorsal aspect since for the last past one 1 year. There was no history of trauma. X-ray foot showed an osteolytic lesion in the right third metatarsal with thinning of the cortex. MRI and fine-needle aspiration cytology confirmed the diagnosis of GCT. The patient was managed by excision with the 3rd ray amputation. At present, 1.5 years follow-up, the patient is having no pain, difficulty in walking and no evidence of clinical and radiological recurrence . Conclusion: Giant cell tumours could also present at uncommon sites, and they should be considered in the differential diagnosis of lytic lesions of the metatarsals. Excision with ray amputation of the involved metatarsal helps in complete removal of the lesion and helps in early weight-bearing. This is the viable alternative treatment option in managing the metatarsal GCT in elderly patients. Keywords: Giant cell tumour, third metatarsal, ray amputation.
Introduction: Chondroblastoma is a rare benign, epiphyseal bone tumor that typically affects the second decade of life and represents approximately 1% of all bone tumors. Radiologically it manifest as a lytic tomour lesion in the epiphysis of long bones. Case report: We present a case of 19 year-old male who presented with recurrent symptoms of pain and swelling in right shoulder associated with restricted shoulder mobility. Preoperative radiological imaging showed large lytic epiphyseal lesion arising from upper end of humerus interspersed with areas of calcification. MRI was done which reveal significant findings of chondroblastoma which guided in the planning of treatment. Conclusion: Chondroblastomas are typically benign, but rarely it can progress locally or metastatise. Recurrence is also noted even after surgical resection which may suggest inadequate curettage. Early diagnosis and aggressive primary management prevents further surgeries and recurrences.
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