Sousa Diogo, Pita Sérgio, Oliveira Vânia, Cardoso Pedro
Orthopaedics and Traumatology, Centro Hospitalar Trás-os-Montes e Alto Douro, Vila Real, PRT.
Orthopaedics and Traumatology, Centro Hospitalar Universitário do Porto, Porto, PRT.
Cureus. 2023 Sep 21;15(9):e45661. doi: 10.7759/cureus.45661. eCollection 2023 Sep.
Giant cell tumors (GCTs) of the ischium are rare and often diagnosed at an advanced stage. In fact, there is no defined treatment algorithm to treat this lesion. We present two case reports of Campanacci's stage three ischiopubic GCT confirmed with biopsy. They were effectively treated with excision of the ischiopubic ramus, aggressive curettage, drilling, and phenolization at the margins. The surgery was performed in a gynecological position with an approach over the ischiopubic ramus. Both cases present no recurrence (two and 10-year follow-up), and neither has a significant impact on the quality of life. A thorough plan and surgical technique were essential for the success of this intervention.
坐骨巨细胞瘤（GCTs）较为罕见，且常于晚期才得以诊断。事实上，目前尚无明确的治疗方案来处理该病变。我们呈现两例经活检确诊为坎帕纳奇三期耻骨坐骨部GCT的病例报告。通过切除耻骨坐骨支、积极刮除、钻孔以及对边缘进行石炭酸处理，对其进行了有效治疗。手术采用经耻骨坐骨支的入路，在妇科手术体位下进行。两例均无复发（随访两年及十年），且对生活质量均无显著影响。全面的计划和手术技巧对于此次干预的成功至关重要。
