Management of skeletal giant cell tumors of the phalanges of the hand

Giant cell tumour of bone with pulmonary metastases

“…Approximately 2% of GCTs involve the matacarpal bones [17] and, although metastases have been reported from almost all sites, it is more common from small bones [1,2,3,10,13,15]. GCTs of the hand bones are more aggressive, and associated with an earlier and higher incidence of recurrences, but are more likely to metastasise to the lungs.…”

Giant Cell Tumour of Bone – A Rare Site With Recurrence

“…11 The treatment modalities of GCT of hand included aggressive curettage, cancellous bone grafting, wide excision along with structural bone grafting, amputation and ray amputation. 4,7,8,9,13 However, high recurrence (90%) rate have been reported even with these treatment procedures. 4,7,8,9,14 Considering total number of GCT of all locations, high local recurrence rate has also been observed in few series ranging from 30.7 to 88.0%.…”

“…In 90% of cases, the local recurrence has been reported after curettage and bone grafting. 4,67,8,9 Even after wide resection and reconstruction with structural bone grafting, high local recurrence rate is noted. 4,5 Multiple surgical procedures like local and wide excision and amputation including ray amputation are used to cure the disease completely.…”

Fibular autograft and silicone implant arthroplasty after resection of giant cell tumor of the metacarpal—a case report with 9-year follow-up

“…This is much higher than the risk (10-20%) when the same technique is used in other sites without adjuvants (Campanacci 1999). Several authors advocate ablative surgery for hand giant cell tumor (Averill et al 1980, Wold and Swee1984, Eckardt and Grogan 1986, Patel et al 1987, Athanasian et al 1997b. Several methods have been described for reconstruction of the bone defect.…”