Treating Giant Cell Tumours with Curettage, Electrocautery, Burring, Phenol Irrigation, and Cementation

Moon, Myung Sang; Kim, Sung Soo; Moon, Jeong Lim; Kim, Sung Sim; Moon, Hanlim

doi:10.1177/230949901302100219

Cited by 30 publications

(32 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…33, No. 5,2016 expanded outside the cortex because a safe surgical margin could not be achieved and the important neurovascular structures could not be protected. Cryotherapy can have effects deeper into the bone tissue; however, it is not used frequently enough due to its necrotic effect on the adjacent soft tissues.…”

Section: Discussionmentioning

confidence: 99%

“…In surgical treatment, aggressive curettage is performed by preserving the cortical integrity to the greatest extent possible. Due to the high local recurrence only after the curettage, the use of local adjuvants was also reported such as phenol, liquid nitrogen, bone cement, hydrogen peroxide and alcohol (5,6). In GCT, the liquid nitrogen was first used by Marcove et al (6) as cryotherapy and reported to be an effective treatment.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Advantages of Pressurized-Spray Cryosurgery in Giant Cell Tumors of the Bone

2016

View full text Add to dashboard Cite

Background: Giant Cell Tumor is considered a benign, local and aggressive tumor. Although considered a benign bone tumor, it is still the subject of discussion and research because of the associated local bone destruction, as well as high rates of recurrence and distant metastases. Options are being developed for both surgical techniques and adjuvant therapies. Aims: The present study evaluated the administration of cryotherapy via a pressurized-spray technique in giant cell tumors of the bone. Study Design: Cross-sectional study. Methods:The study included 40 patients who were treated with extensive curettage and cryotherapy at various locations during the period from February 2006 to December 2013. Informed consent forms were obtained from the participants and ethics committee approval was taken from the local ethics committee of Ondokuz Mayıs University. The pressurized-spray technique was performed using liquid nitrogen. The patients were evaluated with respect to age, gender, radiological appearance, treatment modality, duration of follow-up, skin problems and recurrence. Results: Twenty-one patients were female; 19 were male. The average age of the patients was 33 years (range: 16-72 years), and the average duration of follow-up was 43 months (range: 12-80 months). The average time from the onset of the complaints to the diagnosis was 6 months (range: 2-12 months). Based on the Campanacci classification: 9 patients were Grade I; 25 patients were Grade II; six patients were Grade III. The lesion was located in the femur in 14 patients, in the tibia in 11 patients, in the radius in 5 patients, in the pelvis in 4 patients, in the fibula in 3 patients, in the metatarsal in 2 patients and in the phalanges of the hand in one patient. One patient had postoperative early fracture. None of the patients had skin problems and infection. Three (7.5%) of the patients had recurrence. Conclusion: It was found that cryotherapy was highly effective in the lesions, especially those located in the femur and tibia and remained insufficient in the lesions expanded outside the cortex. Wound healing problems, infection and fracture risk are lower with this technique.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Advantages of Pressurized-Spray Cryosurgery in Giant Cell Tumors of the Bone

2016

View full text Add to dashboard Cite

show abstract

“…Adjunctive therapies, such as cryotherapy, electrocautery and/or instillation of chemicals such as phenol, alcohol or steroids, may be used to decrease recurrence rates, with varying success. 1,4,9,10 This does not usually change the post- (Fig. 1).…”

Section: Surgical Considerations and Techniquementioning

confidence: 89%

Imaging evaluation of treated benign bone tumours

et al. 2015

View full text Add to dashboard Cite

SummaryA number of benign bone tumours can be treated with curettage and packing with either bone cement or graft. It is essential that the radiologist be familiar with both the normal and abnormal post-operative imaging appearance of these treated tumours. Through the use of numerous imaging examples, we aim to provide a pictorial review of the expected post-operative appearance of benign bone tumours treated with curettage and packing, as well as the imaging features of recurrence, the most common potential complication.

show abstract

“…Current evidence indicates that curettage should be supplemented with a combination of chemical cautery, cryotherapy or electrical cautery followed by methylmethacrylate cement to limit recurrence. 20,21 In the instance of this case a combination of curettage, burring and cryotherapy was used, after which cement was inserted in the cavity. The distal humerus was then stabilised with a postero-medial plate.…”

Section: Discussionmentioning

confidence: 99%