Giant Cell Tumor of the Metacarpal: Case Report

Laura W. Lewallen, Eric R. Wagner, Steven Lawrence Moran

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Background: Giant cell tumor (GCT) of bone is a benign, though locally aggressive tumor, classically described as an eccentric lytic lesion, often with cortical expansion and destruction. It typically involves the metaphysis or epiphysis of long bones in skeletally mature patients, with a slight female predominance. The incidence in the small bones of the hand has been reported to be 2% to 5%. Methods: Treatment options have evolved in recent years, and currently include intralesional curettage with or without adjuvant therapy, wide resection, and occasionally amputation. Results: In this report, we present a long-term follow-up (10 years) of a patient with GCT involving a metacarpal, who was initially reconstructed with a metacarpal head allograft, which was eventually revised to a metacarpophalangeal (MCP) total joint arthroplasty. Conclusions: To our knowledge, this is the only report of pyrocarbon being used for tumor reconstruction and the only report of late MCP allograft salvage.

Original languageEnglish (US)
Pages (from-to)NP113-NP117
JournalHand
Volume12
Issue number5
DOIs
StatePublished - Sep 1 2017

Keywords

  • giant cell tumor
  • hand
  • MCP arthroplasty
  • metacarpal
  • pyrocarbon

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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