Giant cell tumor of the femoral head and neck: result of intralesional curettage

Cho, Hwan Seong; Park, Il-Hyung; Han, Ilkyu; Kang, Seung Chul; Kim, Han‐Soo

doi:10.1007/s00402-009-1026-2

Cited by 17 publications

(13 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The risk of local recurrence is relatively higher in giant cell tumors of distal ulna 18 . Poor prognostic results for recurrent giant cell tumors are associated with pathologic fractures, subchondral lesions and malignant transformation 19 . Higher recurrence rates are reported with curettage, cauterization and grafting or cementation when compared to resections in GCT of bone 20 .…”

Section: Discussionmentioning

confidence: 99%

Primary bone tumors and tumor like lesions of the ulna

Aycan¹,

Sökücü²,

Özer³

et al. 2019

Acta Orthopaedica et Traumatologica Turcica

View full text Add to dashboard Cite

ObjectiveThe aim of this study was to discuss the diagnosis and surgical management and their results according to stage of primary bone tumors at ulna and to share our experience on this exceptional location for bone tumors.MethodsWe have retrospectively reviewed our clinics database and identified 23 cases (14 males and 9 females, mean age was 28.9 (range 4–77)) with primary bone tumors and tumor like lesion involvement of ulna. The patients were evaluated according to complaints, type and grade of tumor, treatment, recurrence and functional status.ResultsThe most common first referral complaint was constrictive pain in 52.1% of the cases, benign tumors and tumor like lesions of the bone constituted 73.9% whereas malignant bone tumors were 26.1%, 39.1% of the lesions were located in distal end of ulna and the mean follow up was 33.8 months (range 8–172 months). Local recurrence has unexpectedly occurred in 3 benign lesions (13.1%).ConclusionBenign bone lesions tend to involve distal and proximal ends, malign bone lesions involve diaphysis mostly. Both benign and malignant diaphyseal lesions of the ulna have better postoperative results regarding the lesions at both ends of ulna. One should also take care of recurrences even after a decade from the primary surgery.Level of evidenceLevel IV, Therapeutic study

show abstract

Section: Discussionmentioning

confidence: 99%

Primary bone tumors and tumor like lesions of the ulna

Aycan¹,

Sökücü²,

Özer³

et al. 2019

Acta Orthopaedica et Traumatologica Turcica

View full text Add to dashboard Cite

show abstract

“…As for the type of surgery (curettage or resection), only the functional result differs and is better in the case of conservative treatment [24]. The majority of authors therefore consider curettage to be the first-line method of treating most cases of GCT, even in the event of recurrence [3] [29].…”

Section: Discussionmentioning

confidence: 99%

Clinical Case: Treatment of a Giant Cells Tumor of the Proximal Femur in a Disadvantaged Area

Sawadogo¹,

Korsaga²,

Tinto³

et al. 2017

OJO

View full text Add to dashboard Cite

There have been not many reports on the result of intralesional excision for giant cell tumors (GCTs) of the great trochanter and femoral neck because of its rarity. The authors present the case of a 35-year-old female patient managed with intralesional curettage and filling the defect with autologous bone graft from iliac crest. An appoint of three doses of Denosumab was done postoperatively. The article discusses the clinical aspects and surgical treatment, and the benefits of Denosumab. This report aimed to demonstrate the possibility to perform curetage for giant cell tumor of the hip even the recommandation for this location is wide resection and endoprothesis fixation.

show abstract

“…athologic factures or impending fractures secondary to benign lesions of the femoral head and neck are a treatment challenge because of the specific anatomic location and high recurrence rate. [1][2][3] One possible explanation for this phenomenon is difficulty with gaining access to these lesions 4,5 because of the complicated anatomy of the femoral head and neck combined with the surgeon's concern about compromising the blood supply to the femoral head. 5 Several attempts, including the trapdoor procedure 4 and an extra-articular approach 3 with or without endoscopic assistance, 6,7 may be helpful in decreasing the rate of local recurrence and complications.…”

mentioning

confidence: 99%

“…However, visualization of the entire lesion in the femoral head is often not possible with this approach. 3 Extraarticular endoscopy through a window in the lateral femur just distal to the greater trochanter can also provide access to subchondral lesions and allow bone grafting without disrupting the weight-bearing cartilage. 6,7 However, 1 drawback of the technique is that simultaneous curettage and arthroscopic visualization is not possible with standard instruments, and this approach also violates the proximal femoral physis and cannot be recommended for skeletally immature children.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Combined Anterior and Lateral Approaches for Bone Tumors of the Femoral Neck and Head

Hu¹,

Lun²,

Zhao³

2012

Orthopedics

View full text Add to dashboard Cite

Few reports in the literature describe the treatment experience of benign lesions of the femoral head and neck. Between July 2005 and August 2009, twenty-four patients with bone tumor of the femoral neck and head were treated at the authors' institution. Fourteen patients had pathological fractures of the femoral neck; in the other 10 patients, the bone cortex was involved. Average tumor size was 78 cc (range, 45-130 cc). The patients were treated by curettage plus bone grafting via an anterior approach (Smith-Petersen incision) and internal fixation via a lateral approach (Hardinge approach). Average follow-up was 34 months (range, 10-68 months).Average blood loss and operative time were 450 mL and 87 minutes, respectively. Six patients experienced complications: 2 superficial wound infections, 2 immunological rejections, and 2 hollow screw loosenings and slight limps at 12 and 16 months postoperatively, respectively. No recurrence or other serious complications, such as pathological fracture, ischemic necrosis of the femoral head, or joint degeneration, occurred. Average Musculoskeletal Tumor Society score for lower extremity function was 29.2 (range, 27-30) at final follow-up, and all patients resumed their normal preoperative work and were pain free postoperatively, although 1 patient had a slight limp at final follow-up.A combination of anterior and lateral approaches may produce good clinical and functional results with minimal complications in bone tumors of the femoral neck.

show abstract

Giant cell tumor of the femoral head and neck: result of intralesional curettage

Abstract: It may be that curettage should be considered as a primary treatment of choice for GCTs of the femoral head and neck.

Cited by 17 publications

References 18 publications

Primary bone tumors and tumor like lesions of the ulna

Primary bone tumors and tumor like lesions of the ulna

Clinical Case: Treatment of a Giant Cells Tumor of the Proximal Femur in a Disadvantaged Area

Combined Anterior and Lateral Approaches for Bone Tumors of the Femoral Neck and Head

Contact Info

Product

Resources

About