Rangaswamy Namith, Kumar Venkatesan Sampath, Banjara Roshan, Majeed Abdul, Goyal Devansh, Khan Shah Alam
Department of Orthopedics, All India Institute of Medical Sciences, New Delhi, India.
J Orthop Case Rep. 2021 Feb;11(2):19-23. doi: 10.13107/jocr.2021.v11.i02.2008.
The WHO defines giant cell tumor as a benign locally aggressive neoplasm with metastasizing capacity and aggressive behavior. Very rarely, these tumors are seen fungating, mostly when neglected. But when they do, the treatment option commonly conferred is amputation of the limb which is disabling and traumatizing.
We report three cases of fungating limb masses (proximal tibia, distal fibula, and distal radius) diagnosed with giant cell tumor histologically, undergoing limb saving surgeries with various reconstruction techniques to endorse a good quality of life and functioning limb.
Our study is one of the earliest to report medium-term follow-up after such limb salvage procedure. We recommend that salvage procedures should be considered in giant cell tumors even in the presence of fungation if there is no neurovascular encasement.
世界卫生组织将骨巨细胞瘤定义为一种具有转移能力和侵袭性行为的局部侵袭性良性肿瘤。这些肿瘤极少出现呈蕈状生长,大多是在被忽视的情况下。但一旦出现这种情况,通常给予的治疗选择是截肢,这会导致肢体残疾并造成创伤。
我们报告了三例组织学诊断为骨巨细胞瘤的肢体蕈状肿物病例(胫骨近端、腓骨远端和桡骨远端),采用各种重建技术进行保肢手术,以确保良好的生活质量和肢体功能。
我们的研究是最早报告此类保肢手术后中期随访情况的研究之一。我们建议,即使存在肿瘤呈蕈状生长的情况,只要没有神经血管受累,骨巨细胞瘤也应考虑进行保肢手术。