Giant cell tumour of bone: A series of 97 cases with a mean follow-up of 12 years

F. Abat, M. Almenara, A. Peiró, L. Trullols, S. Bagué, I. Grácia

Research output: Contribution to journalArticleResearchpeer-review

7 Citations (Scopus)

Abstract

© 2013 SECOT. Purpose: To describe our series of patients with giant cell tumour of bone with a long-term follow-up to show the results obtained with our treatment protocol. Material and methods: A total of 97 histologically confirmed giant cell tumour of bone were treated in our center between 1982 and 2009. The mean follow-up period was 12 years (2-27 years). The treatment received was determined by the radiological grade based on the Campanacci classification. The series consisted of 53 women (54.6%) and 44 men (54.4%) with a median age of 34.16 years (15-71 years). The data collected was focused on the clinical presentation, location, phase, extension, recurrences, and complications. Results: The treatment most used in Campanacci grades i and ii was intralesional excision with high velocity drilling and filling with a graft. In grades iii that could not be treated with the aforementioned method, it was decided to perform en bloc resection. An overall recurrence rate of around 25.8% was observed. Seven cases (7.2%) presented with a recurrence of the malignancy. The death rate at the end of follow-up was 2.1% (2 cases). Conclusions: Curettage with a high-velocity drill and a bone graft in giant cell tumour of bone Campanacci grades i and ii obtain good results after long-term follow-up. Some grade iii giant cell tumour of bone that cannot be treated with this therapeutic option require en bloc resection and reconstruction.
Original languageEnglish
Pages (from-to)59-65
JournalRevista Espanola de Cirugia Ortopedica y Traumatologia
Volume59
Issue number1
DOIs
Publication statusPublished - 1 Jan 2015

Keywords

  • Curettage
  • Giant cell tumour of bone
  • Legrado
  • Recurrence
  • Recurrencia
  • Tratamiento
  • Treatment
  • Tumor de células gigantes óseo

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