Department of Orthopaedics and Traumatology, School of Medicine, Kocaeli University, İzmit, Kocaeli, Turkey.
Department of Pathology, Medeniyet University Göztepe Research and Training Hospital, Istanbul, Turkey.
Acta Chir Orthop Traumatol Cech. 2022;89(6):448-452.
The hand is an extremely rare site for giant cell tumor (GCT). There are only a few reported cases of GCT including the hand, and even fewer reporting involvement of phalanges. GCTs in small bones are typically more aggressive and have higher local recurrence and rate of metastasis in younger patients compared to long bone involvement, so the treatment is more clinically challenging in the hand. In this study, we present the management of giant cell tumors of the proximal phalanxin two patients treated with two different method; ray resection and arthrodesis using an iliac crest graft. Key words: giant cell tumor, phalanx, hand, recurrence.
手部是巨细胞瘤(GCT)极为罕见的发病部位。仅有少数文献报道过手部 GCT,而累及指骨的病例则更少。与长骨受累相比,手部小骨的 GCT 通常更具侵袭性,且年轻患者局部复发和转移率更高,因此在手部治疗更具临床挑战性。本研究我们报告了 2 例采用 2 种不同方法治疗的近端指骨 GCT 患者的治疗方法;射线切除术和髂嵴移植的关节融合术。关键词:巨细胞瘤、指骨、手部、复发。