Year: 2018
Type: article
Study design: Case Report
Abstract: Giant Cell Tumour (GCT) of bone usually presents around knee and distal radius in 20 to 40 years age group.We present a case that developed in first metacarpal in a lady of 57 years which also recurred after initial treatment and involves second metacarpal.In November 2015 she presented in our institution with recurrence of GCT of the 1st MC of left hand.Initial presentation was intraosseous Capancci grade III lesion.That was treated with narrow margin resection, interposition bone cement on a Kirschner wire (K wire) which started recurring after 8 months.But presented to us after another one year when extensive extension within soft tissue took place.MRI showed second metacarpal bone and extensive soft tissue involvement.Lung metastasis was excluded.Under tourniquet control the mass along with bone cement was removed, thoroughly cleaned and tricortical bone graft from iliac crest was placed in position with 4 K-wires.After closure of wound hand and forearm was placed in plaster of Paris slab.Stitches were removed after 2 weeks but cast continued for 2 months and K wires continued for 3 months when graft ends started uniting and partially incorporated.Histopathology reported as GCT in both sites without malignancy.Movements of carpometacarpal and metacarpophalangeal joints were restricted but interphalangeal joint exhibit 50% motion.Wrist became free.In 1 year 3 months follow up there is no evidence of recurrence or metastasis.She is on bisphosphonate and vitamin D therapy.
Source: MOJ Orthopedics & Rheumatology
Author: Jitendra Nath Pal
Language: English
Subfield: Rheumatology
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W2790854575