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Wide excision and reconstruction surgery using NVFG for giant cell tumor of the right proximal radius campanacci 3


MOJ Clinical & Medical Case Reports
Yogi Prabowo, Irsan Abubakar, I Wayan Arya Mahendra Karda, Eugene Dionysios, Juniarto Jaya Pangestu

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Abstract

Giant Cell Tumors, commonly known as GCT is a type of typically benign, potentially malignant tumors. GCT have a tendency for reccurence and often extends to the articular subchondral bone and cartilage. GCT of the proximal radius is rare case. the joint and its capsule are rarely invaded. The standard mode of treatment for GCT is surgical resection, of which the key to ensuring an adequate surgical treatment is complete tumor excision and achieving adequate lesion exposure..We reported a case series from three patients with Giant cell tumor (GCT) of the proximal radius. Two of the patients have GCT of the left proximal radius, and the other one on the right proximal radius. Patient mostly presented with chief complain pain on the elbow and fore arm region. Radiographic examination showed a primary bone tumor of the proximal radius. MRI provided excellent depiction in suggesting the diagnosis of cutaneous GCT campanacci 3, which was later, affirmed by biopsy. All Patient underwent successful wide excision and non-vascularized fibular graft reconstruction. The limb salvage procedure consists elbow joint excision and NVFG reconstruction. During 1 year follow up post-operative period, there was no major event observed. The pain sensation was diminished, and the ROM elbow back to normal limit because it was pain free. The GCT usually appears as an eccentric and expansile lesion located on the epiphyseal area, oftenly characterized with its signature soap-bubble appearance.MRI is useful to assess extracortical spread and intramedullary extension. Among the numerous choice of surgical approach, reconstruction surgery is preferred, while curettage is often performed with a combination with bone cement and/or bone graft..Wide resection of proximal radius and reconstruction with non-vascularized fibular graft is might be beneficial in retaining the elbow function as well as achieving satisfactory ROM and strength. It is also a viable option, as it provides good pain relief with lower complication rates.

Keywords

giant cell, campanacci 3, wide excision, reconstruction, proximal radius, non-vascularized fibular graft, distal femur, proxima tibia, distal radius, GCT patients, immature skeleton

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