Alhulaimi Yaser, AlAbbasi Khaled K, AlShaya Osama S, Alrawaf Talal N, Aldosari Nasser H, Zogel Basem
Department of Orthopedic Surgery, King Fahad Medical City, Riyadh, SAU.
Department of Reconstructive Orthopedics, King Fahad Medical City, Riyadh, SAU.
Cureus. 2024 Jul 27;16(7):e65507. doi: 10.7759/cureus.65507. eCollection 2024 Jul.
Giant cell tumor (GCT) is a common benign aggressive tumor that mostly occurs in the proximal tibia, distal radius, and distal femur but is rarely seen in the distal region of the humerus. It originally presents between the ages of 30 and 50 with suddenly occurring pain. Treatment is generally curettage adjuvant treatment if necessary and reconstruction if required. In our case report, we present the clinical and radiological findings, diagnosis, and management of a 33-year-old female patient with a giant cell tumor (GCT) accompanied by a secondary aneurysmal bone cyst (ABC) in the left distal humerus, where the patient experienced pain for many years without significant history of trauma. Upon clinical examination, the patient displayed tenderness over the medial side of the elbow but no noted swelling, redness, or hotness. She had a painless full range of motion, with an intact distal neurovascular examination. Imaging concluded GCT with secondary ABC. A biopsy confirmed the diagnosis, ruling out metastatic lesions. The patient underwent surgical intervention, with plate fixation, which yielded excellent outcomes.
骨巨细胞瘤(GCT)是一种常见的侵袭性良性肿瘤,多发生于胫骨近端、桡骨远端和股骨远端,而在肱骨远端区域罕见。它最初出现在30至50岁之间,表现为突然出现的疼痛。治疗通常是刮除术,必要时进行辅助治疗,如有需要则进行重建。在我们的病例报告中,我们展示了一名33岁女性患者的临床和放射学检查结果、诊断及治疗情况,该患者左肱骨远端患有骨巨细胞瘤(GCT)并伴有继发性骨囊肿(ABC),患者多年来一直疼痛,无明显外伤史。临床检查时,患者肘部内侧有压痛,但未发现肿胀、发红或发热。她的关节活动范围正常且无痛,远端神经血管检查正常。影像学检查诊断为伴有继发性ABC的GCT。活检确诊了诊断,排除了转移性病变。患者接受了手术干预,采用钢板固定,取得了良好的效果。