Giant-Cell Tumors of the Carpus

Hand Tumors

“…4,31,32,36 Carpal bone involvement requires en bloc excision. 37 Both vascularized and nonvascularized fibular reconstruction for distal radius tumors have been described. 6,32 Following comparison of vascularized free fibular transfer versus nonvascularized iliac crest transfer in 27 patients with giant cell tumors of the bone of the distal radius, Clarkson et al recommended nonvascularized iliac crest transfer because of decreased surgical times and reoperation rates.…”

Surgical Treatment of Multifocal Giant Cell Tumor of Carpal Bones With Preservation of Wrist Function: Case Report

“…Curettage of these lesions is less effective than that of lesions occurring in common locations. 1,2,5,6 In the present case, a high risk of recurrence was anticipated because of the multifocal cortical bone destruction and diffuse soft tissue invasion. Complete tumor excision and wrist arthrodesis or proximal row carpectomy are the most common treatment approaches in such cases, but wrist joint range of motion is inevitably decreased.…”

“…5 Most cases of carpal GCT reported in the literature have involved a single lesion without cortical destruction or soft tissue involvement. [1][2][3][4][5][6][7][8][9][10][11][12] Cartilage is an effective barrier to GCT invasion. Although these tumors are histologically benign, they tend to recur after treatment with intralesional curettage 5 because of local aggressiveness.…”

Tumours and Tumour-Like Lesions of Bone

“…Involvement of the carpal bones is very rare. In a literature review of GCTOB published in 2006, Shigematsu et al found only 29 of 193 (15%) reported cases of GCTOB of the hand occurred in the carpus (Shigematsu et al 2006). With the exception of the pisiform, all the carpal bones were represented with the hamate being the most common location.…”