Abstract

Giant cell tumour (GCT) of bone arising from a phalanx of a finger is extremely rare. Only two percent of all reported GCTs are found in the hand, which show a higher rate of recurrence as compared to those occurring at a more proximal location. Here we report a rare case of giant cell tumour of proximal phalanx of the ring finger in a 20-year-old male, which was treated with extended curettage and bone grafting. After two years of follow-up, the patient was asymptomatic with complete functional recovery and no signs of recurrence.

Highlights

  • Giant cell tumour is an uncommon benign osseous tumour usually seen at the epiphysis of a long bone after skeletal maturity

  • Local recurrence following simple curettage and bone grafting has been reported to be as high as 90% [2]

  • We report a case of Giant cell tumour (GCT) of the proximal phalanx of the ring finger in a young male patient treated with extended curettage and bone grafting

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Summary

Introduction

Giant cell tumour is an uncommon benign osseous tumour usually seen at the epiphysis of a long bone after skeletal maturity. We report a case of GCT of the proximal phalanx of the ring finger in a young male patient treated with extended curettage and bone grafting. Shows lytic lesion at the base of the proximal phalanx of the ring finger The differential diagnosis at this stage was giant cell tumour, enchondroma, and aneurysmal bone cyst. A biopsy of bone tissue was sent for histopathological examination, which showed proliferation of osteoclast-type giant cells, uniformly distributed with mononucleated polygonal cells showing brisk mitotic activity at focal areas (Figure 3). This confirmed the diagnosis as giant cell tumour. At two years follow-up there was complete healing of the lesion with no evidence of recurrence (Figure 4)

Discussion
Conclusions
Disclosures
Turcotte RE
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