Bone Tumor Wide Excision Due to Giant Cell Tumor of Proximal Humerus, A Case Report
Giant Cell Tumor, Bone Tumor
DOI:
https://doi.org/10.31282/joti.v5n3.105Keywords:
Giant cell tumor, Wide Excision, Bone TumorAbstract
Introduction: Giant Cell Tumors are benign, aggressive tumors typically found in the epiphysis of long bones. It has a potential for aggressive behaviour and the capacity to metastasize. the most common symptom of a giant cell tumor is a pain in the area of the tumor. The patient may also have pain with the movement of the nearby joint.
Case: We reported an 18-year-old boy with an extensive giant-cell tumor of proximal humerus. Radiograph was taken and show a primary malignant bone tumour proximal humerus dextra with soft tissue swelling. There was a lytic lesion, with wide zone transition on proximal humerus dextra, and there was a trabeculated bone outside the normal lesion. was treated by segmental resection and shoulder reconstruction. A prosthesis was used to reconstruct the shoulder joint, the rotator cuff was reattached to the bone after making a semicircular trough.
Discussion: There are several therapy options for the patient, the non-operative and operative therapy. The non-operative way such as radiation therapy, medication therapy, and tumor embolization. The operative way such as extensive, complete resection, and amputation.
Conclusion: Wide excision is suitable for this patient, we can save normal tissue and do some shoulder reconstruction.
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References
Michael C Herbst (2021). Giant Cell Tumour of Bone. Fact Sheet on Giant Cell Tumour of Bone. Cancer Association of South Africa (CANSA) https://www.orthobullets.com/pathology/8046/giant-cell-tumor
Prabowo Y, Abubakar I. Reconstruction giant cell tumor of the right proximal humerus Campanacci 3 with pedicle and rod system: A case report. Int J Surg Case Rep. 2018;52:67-74.
Saleh R, Yurianto H, Pasallo P, Guatama A, Subagio ES. Good functional outcome evaluation of free vascularized fibular head graft (FVFHG) as treatment after resection of giant cell tumor (GCT) campanacci 3 at proximal humerus: A case report. Int J Surg Case Rep. 2019;61:254-258.
Shi SF, Dong Y, Zhang CL, Bao K, Ma XJ. [Prosthesis replacement of the proximal humerus after the resection of bone tumors]. Chin J Cancer. 2010 Jan;29(1):121-4. Chinese.
Agrawal AC, Choudhary R, Verma S. The Successful Management of a Repetitively Infected Recurrent Proximal Humerus Giant Cell Tumour of 20 Years’ Duration With Two-Staged Surgery: A Rare Case Report. Cureus. 2021 Apr 14;13(4):e14492.