dr.paragp at gmail
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Apr 21, 2008, 4:39 AM
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[Orthopod] GCT ring finger
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Case of ?recurrent GCT of right (dominant hand) ring finger proximal
phalanx in 20 yr male. Pt gives h/o mild occasional pain since last 4
months. Xrays then showed a small well defined lytic lesion, without
ballooning of cortices or soft tissue involvement, near the distal end of
the phalanx (approx. 5mm x 5mm) - these xrays are not available. Curettage
was done, perhaps thinking it to be an enchondroma. The biopsy proved
inconclusive. 2 months after this, he presented to me with bony enlargement
of the same phalanx. C arm images are attached herewith. Core biopsy is
suggestive of Giant cell tumor, with no evidence of malignancy. Adjacent
joints are freely movable, there is no distal NV impairment. How to
proceed?Is plain BG+cementing enough? or is cauterisation/phenol
required? The
phalanx is ballooned... can it be reduced in size? I saw an article on
Journal of orthopedics, using iliac crest graft. Is it worthwhile to attempt
that?
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