The giant cell tumour of the proximal phalanx of the thumb treated by a 2-stage operation

Reichert, Paweł; Gosk, Jerzy

doi:10.1016/j.aott.2017.03.015

Cited by 4 publications

(4 citation statements)

References 19 publications

(24 reference statements)

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“…The dilemma of multiple lesions mimicking GCT on roentgenography often creates a problem to proceed toward the right path. Radiological differentials such as ABC, GCRG, NOF, SBC, chondroblastoma, brown tumor of hyperparathyroidism, and malignancy [ 10 ] should always rule out by histopathological analysis of the lesion by biopsy. However, Biscaglia et al [ 6 ] stated that even if the radiological presentation is nonspecific, it is assumed that a giant cell-rich lesion in the skeletally mature long bone epiphyseal region favored the diagnosis as GCT.…”

Section: Discussionmentioning

confidence: 99%

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Giant Cell Tumor of Thumb Proximal Phalanx-A Case Report

Garg¹,

Aggarwal²

2023

JOCR

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Introduction: The prevalence of giant cell tumor (GCT) of bone is approximately 5% of all primary osseous tumors. It accounts for <2% of the total cases as far as the involvement of the hand is concerned. Numerous studies stated that <1% of cases have phalangeal involvement of the thumb. Case Report: This case is delineated for its unusual location (thumb proximal phalanx) in a 42-year-old male patient managed by single-stage en-bloc excision, arthrodesis, and web-space deepening procedure without donor-site morbidity. It is known for its notorious nature for reoccurrence (10–50%) and transformation into malignancy (10%); therefore, meticulous dissection is a prerequisite. Conclusion: GCT of the thumb proximal phalanx is quite an unusual presentation. Although very rare, it is thought to be one of the most aggressive varieties of benign bone tumor observed to date. Amid a high rate of recurrence, careful preoperative planning is pivotal for fruitful outcome both anatomically and functionally. Keywords: Giant cell tumor, proximal phalanx, extended curettage.

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Section: Discussionmentioning

confidence: 99%

“…GCT of phalanges of the hand originates from diaphysis but frequently invades nearby soft tissue after penetrating the cortex which appeared like “paper thin” and having a “ballooned appearance” on roentgenograph, making it less suitable for simple curettage procedure [ 10 ]. A similar finding was there in our patient also.…”

Section: Discussionmentioning

confidence: 99%

Giant Cell Tumor of Thumb Proximal Phalanx-A Case Report

Garg¹,

Aggarwal²

2023

JOCR

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“…Fusion using bone graft (autograft or allograft) has been described in phalangeal GCT-B with comparable functional outcomes. [13][14][15] When using bone grafting, it is necessary to wait for healing and having the risks of union complications. This would not give the immediate stability provided by bone cement, and if bone graft resolved, this would be thought radiologically as early recurrence.…”

Section: Discussionmentioning

confidence: 99%

Giant cell tumor in the proximal phalanges of the hand: A report of two cases treated with a nonbiological construct

Altayeb¹,

Shaheen²,

Abduljawad³

2021

J Musculoskelet Surg Res

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The lesion is classically juxta-articular at the end of long bones in the age group of 20-40 years with the mean age of 32 years. On the hand, it tends to present earlier with a mean age at presentation of 22 years (that is less than the average occurrence age of conventional GCT). [3,4] The most common location for GCTs is the distal femur and the proximal tibia, which together constitute 55% of cases. Other locations include the distal radius (10%-12%), sacrum (4%-9%), proximal humerus (4%-8%), proximal femur (4%), and less frequently, the vertebral bodies (2.5%). [5] However, its occurrence in the bones of the hands is an infrequent entity, accounting for only 2% of all GCTs, [5,6] and it is even rarer in the phalanges of the hands. Biscaglia reported a 0.9% occurrence in the hands in their review of 900 cases. [7] Averill reported an incidence of 2% GCT in the hands out of 1228 cases. [4] In a review by Patel et al. of 2400 cases, fifty cases (2%) were in the phalanges of the hand. [8] Athanasian, in his data over 50 years from the Mayo Clinic, had just five patients with GCT in the phalanges. [9] From a collection of series, in Turcott's report, of 1299, only 11 (0.84%) cases occurred in the phalanges. [5] We report on two patients with GCT-B of the phalanges. The first case presented with GCT-B in the proximal phalanx of the thumb and the second case with the tumor in the proximal phalanx of the index finger. In both patients, the lesions were radiologically Campanacci III. They were treated by total resection of the involved phalanx and nonbiological reconstruction using a Kirschner (K) wire and cement spacer. Both patients remained disease-free at 9 and 7 years, respectively, post index procedure. A literature review and management options for this rare presentation site in GCT-B are discussed.

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“…5). (3) There is also a slight predilection for younger patients around 20 years of age. (4) Patients usually present with an insidious onset of pain and swelling of their hands, which may be aggravated by a pathological fracture.…”

Section: A 4b 4cmentioning

confidence: 99%

Clinics in diagnostic imaging (209)

Ali¹,

Yan²,

Tan³

2021

smedj

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A 53-year-old woman presented to the emergency department with pain and swelling in the left ring finger for three months that had worsened after she accidentally hit her finger against the edge of a table. She had no constitutional symptoms and no significant medical history except for diabetes mellitus. Clinical examination revealed localised swelling and tenderness over the proximal phalanx of the left ring finger. Initial laboratory results showed a total white blood cell count of 8.3 (normal range [NR] 4.0-10.0) × 103/mL, C-reactive protein level of 0.4 (NR < 3.0 mg/L), serum phosphate level of 1.27 (NR 0.65-1.65 mmol/L) and serum calcium level of 2.34 (NR 2.1-2.6 mmol/L). Plain radiography of the left ring finger was performed at the initial presentation at the emergency department (Fig. 1a) and the one-month follow-up (Fig. 1b). What do the radiographs show? Based on the radiographic findings, magnetic resonance (MR) imaging of the left ring finger (Fig. 2) was subsequently performed. When interpreted with the radiography findings, what is the likely diagnosis? CMEArticle

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The giant cell tumour of the proximal phalanx of the thumb treated by a 2-stage operation

Cited by 4 publications

References 19 publications

Giant Cell Tumor of Thumb Proximal Phalanx-A Case Report

Giant Cell Tumor of Thumb Proximal Phalanx-A Case Report

Giant cell tumor in the proximal phalanges of the hand: A report of two cases treated with a nonbiological construct

Clinics in diagnostic imaging (209)

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