Giant Cell Tumor of the Capitate Bone

Afshar, Ahmadreza; Tabrizi, Ali; Aidenlou, Ali; Abbasi, Ata

doi:10.1055/s-0038-1631876

Cited by 4 publications

(6 citation statements)

References 17 publications

(80 reference statements)

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“…The location of GCT at the midcarpal region is extremely rare and subsequent surgical treatment is often a difficult and challenging issue. [1][2][3][4][5][6] Resection of the lesion may be associated with local recurrence and lung metastasis that usually occur within the first 3 years. 3 Therefore, meticulous and extended curettage along with adjuvant treatment including hydrogen peroxide, alcohol and bone grafting is necessary to minimize the potential of recurrence.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5][6] Resection of the lesion may be associated with local recurrence and lung metastasis that usually occur within the first 3 years. 3 Therefore, meticulous and extended curettage along with adjuvant treatment including hydrogen peroxide, alcohol and bone grafting is necessary to minimize the potential of recurrence. 2 However, wide bone resection predisposes to wrist instability that needs limited or total wrist arthrodesis.…”

Section: Discussionmentioning

confidence: 99%

“…2 However, wide bone resection predisposes to wrist instability that needs limited or total wrist arthrodesis. 3 In this scenario, autologous iliac corticocancellous bone graft offers enhanced structural stability, biologic stimulation of healing, and high fusion rate. 5 Conversely, there are reports where capitate removal combined with allogenic or autologous bone grafting without fusion was not followed by any further operative procedure.…”

Section: Discussionmentioning

confidence: 99%

“…6 Several authors reported an excellent functional outcome and low recurrence rate without reconstruction of distal row or distal row carpectomy. 1,3,6 We believe that the level of bone excision and reconstruction is an individual issue depending on tumor aggressiveness. Therefore, an appropriate balance between optimal wrist motion and low potential for recurrence might be essential for a successful outcome.…”

Section: Discussionmentioning

confidence: 99%

“…2 Capitate bone involvement is exceedingly rare and very few cases have been reported in the literature. 1,[3][4][5] We present an unusual case of a GCT in the capitate in a 12-year-old girl and we describe the surgical treatment that was performed.…”

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confidence: 99%

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Tricortical Bone Grafting with Limited Midcarpal and Carpometacarpal Fusion for the Treatment of Giant Cell Tumor of the Capitate

2020

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Background Giant cell tumor (GCT) of capitate is a rare lesion that is challenging to treat. Case Description We present a case of a 12-year-old girl suffering from a GCT of the capitate. Wide excision combined with adjuvant treatment including hydrogen peroxide, alcohol, tricortical bone grafting, and limited midcarpal and carpometacarpal fusion achieved good functional result without evidence of tumor recurrence or radiocarpal degeneration at 8 years postoperatively. Clinical Relevance In this case with long-term follow-up, surgical treatment of capitate GCT with limited midcarpal and carpometacarpal fusion led to a satisfactory outcome despite the alteration of wrist kinematics.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Tricortical Bone Grafting with Limited Midcarpal and Carpometacarpal Fusion for the Treatment of Giant Cell Tumor of the Capitate

2020

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Clinical and Radiological Profile of Ten Interesting Though Rare Presentations of Giant Cell Tumor of Bone

Zacharia¹,

Pai²,

Paul

2020

Indian J Surg Oncol

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Giant cell tumor (GCT) is a benign but locally aggressive lesion of the bone. They are common in skeletally matured individuals with female preponderance. Unusual presentations can occur rarely. This study aims to find out the clinical and radiological profile of ten rare presentations of GCT. We have conducted a retrospective analysis of medical records of ten interesting presentations of giant cell tumor of bone. There was a patient with soft-tissue recurrence after excision. In five cases, the GCT occurred at rare sites and a case to discuss the radiological dilemma in the diagnosis. One case of pathological fracture, another case of seeding of tumor cells in the graft donor site, and a case of pulmonary metastasis were included. There were seven females, two males, and a boy. Out of ten patients, all except two cases were primarily treated at our institution. Clinical profiles of soft-tissue recurrence, rare sites of occurrence, diagnostic dilemma, pathological fracture, seeding at donor site, and metastasis were analyzed and presented. GCT, even though it is a benign lesion, can have a variety of clinical presentations and complications.

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Giant Cell Tumor of the Capitate and Hamate: Case Report and of Literature Review

et al. 2020

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Background In the hand, giant cell tumors (GCTs) of the bones account for 2 to 5% of all hand tumors; they are often seen in the metacarpals and phalanges, seldom in the carpal bones. In the carpal bones, GCT usually occurs as a single lesion, with multifocal involvement being extremely rare. On analysis of recent English literature, we could find out only two reports having simultaneous involvement of multiple carpal bones. Case Description We report a case of a 29-year-old female with simultaneous involvement of two carpal bones: capitate and hamate. After confirming the diagnosis by histopathological examination, the affected carpals were resected, and the defect was filled with autologous bone graft. Follow-up at 18 months demonstrated no evidence of local recurrence or metastatic disease, and the patient is now having a reasonable hand function. Literature Review We analyzed nine case reports on GCTs in carpal bones in the past 25 years. Seven out of nine cases that we could analyze showed single carpal bone involvement (three capitate, two scaphoid, one hamate, one triquetrum). In these, four patients had undergone resection, and five patients had undergone curettage, of whom one patient came back 5 months later with recurrence. Only two cases were there with simultaneous involvement of multiple carpal bones. Both the cases were managed with resection and reconstruction with autologous graft iliac graft. Clinical Relevance GCTs of the carpal bones are relatively rare, and simultaneous involvement of two bones is rarer. Every attempt should be made to preserve useful wrist range of motion by excision and limited carpal fusion.

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Giant Cell Tumor of the Capitate Bone

Cited by 4 publications

References 17 publications

Tricortical Bone Grafting with Limited Midcarpal and Carpometacarpal Fusion for the Treatment of Giant Cell Tumor of the Capitate

Tricortical Bone Grafting with Limited Midcarpal and Carpometacarpal Fusion for the Treatment of Giant Cell Tumor of the Capitate

Clinical and Radiological Profile of Ten Interesting Though Rare Presentations of Giant Cell Tumor of Bone

Giant Cell Tumor of the Capitate and Hamate: Case Report and of Literature Review

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