Giant Cells Tumour of the Distal Phalanx of the Finger- A Case Report
Giant Cell Tumour (GCT) of the hand phalangeal bones are rare but with local aggressiveness and high risk of recurrence. Their treatment is exclusively surgical. We report a case of GCT occurring in the third phalanx of the index. A 83-year-old woman, righthanded, presented with a painful tumefactio...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2018-01-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/11109/31683_CE(_)_F(AK)_PF1(AD_AnG)_PFA(NC_MJ_GG)_PN(AP).pdf |
| _version_ | 1818187415575068672 |
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| author | Selim Daas Med Ali Sbai Sana Ben Slama Adel Khorbi |
| author_facet | Selim Daas Med Ali Sbai Sana Ben Slama Adel Khorbi |
| author_sort | Selim Daas |
| collection | DOAJ |
| description | Giant Cell Tumour (GCT) of the hand phalangeal bones are rare but with local aggressiveness and high risk of recurrence. Their treatment is exclusively surgical. We report a case of GCT occurring in the third phalanx of the index. A 83-year-old woman, righthanded, presented with a painful tumefaction of the distal phalanx of the right index finger. Examination revealed a swelling of the distal phalanx, of hard consistency, fixed, slightly painful to the palpation. The radiography showed an expensive lytic lesion taking up the entire third phalanx. A surgical biopsy revealed an aspect of a GCT invading bone, soft tissue and dermis. It was Stage 2 of the radio histological classification of enneking. In view of the local progression of the GCT, a proximal trans-phalangeal amputation to the index was performed. Until her last follow up after 24 months, the patient didn’t show any recurrence or metastasis. The location of GCT in the metacarpal bones is rare. The diagnosis is based on the clinical, radiological and histopathological findings. After surgery, the prognosis is related to rate of recurrence. |
| first_indexed | 2024-12-11T23:10:40Z |
| format | Article |
| id | doaj.art-03a800e25bcc4797aa449313220c3caf |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-11T23:10:40Z |
| publishDate | 2018-01-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-03a800e25bcc4797aa449313220c3caf2022-12-22T00:46:44ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2018-01-01121RD01RD0210.7860/JCDR/2018/31683.11109Giant Cells Tumour of the Distal Phalanx of the Finger- A Case ReportSelim Daas0Med Ali Sbai1Sana Ben Slama2Adel Khorbi3Assistant Professor, Department of Orthopaedic Surgery, MT Maamouri Hospital, University Tunis El Manar, Faculty of Medicine of Tunis, Nabeul, Tunisia.Professor, Department of Orthopaedic Surgery, MT Maamouri Hospital, University Tunis El Manar, Faculty of Medicine of Tunis, Nabeul, Tunisia.Assistant Professor, Department of Pathology, M. Slim Hospital, University Tunis El Manar, Faculty of Medicine of Tunis, Tunisia.Professor, Department of Orthopaedic Surgery, MT Maamouri Hospital, University Tunis El Manar, Faculty of Medicine of Tunis, Nabeul, Tunisia.Giant Cell Tumour (GCT) of the hand phalangeal bones are rare but with local aggressiveness and high risk of recurrence. Their treatment is exclusively surgical. We report a case of GCT occurring in the third phalanx of the index. A 83-year-old woman, righthanded, presented with a painful tumefaction of the distal phalanx of the right index finger. Examination revealed a swelling of the distal phalanx, of hard consistency, fixed, slightly painful to the palpation. The radiography showed an expensive lytic lesion taking up the entire third phalanx. A surgical biopsy revealed an aspect of a GCT invading bone, soft tissue and dermis. It was Stage 2 of the radio histological classification of enneking. In view of the local progression of the GCT, a proximal trans-phalangeal amputation to the index was performed. Until her last follow up after 24 months, the patient didn’t show any recurrence or metastasis. The location of GCT in the metacarpal bones is rare. The diagnosis is based on the clinical, radiological and histopathological findings. After surgery, the prognosis is related to rate of recurrence.https://jcdr.net/articles/PDF/11109/31683_CE(_)_F(AK)_PF1(AD_AnG)_PFA(NC_MJ_GG)_PN(AP).pdfamputationhandungual dystrophy |
| spellingShingle | Selim Daas Med Ali Sbai Sana Ben Slama Adel Khorbi Giant Cells Tumour of the Distal Phalanx of the Finger- A Case Report Journal of Clinical and Diagnostic Research amputation hand ungual dystrophy |
| title | Giant Cells Tumour of the Distal Phalanx of the Finger- A Case Report |
| title_full | Giant Cells Tumour of the Distal Phalanx of the Finger- A Case Report |
| title_fullStr | Giant Cells Tumour of the Distal Phalanx of the Finger- A Case Report |
| title_full_unstemmed | Giant Cells Tumour of the Distal Phalanx of the Finger- A Case Report |
| title_short | Giant Cells Tumour of the Distal Phalanx of the Finger- A Case Report |
| title_sort | giant cells tumour of the distal phalanx of the finger a case report |
| topic | amputation hand ungual dystrophy |
| url | https://jcdr.net/articles/PDF/11109/31683_CE(_)_F(AK)_PF1(AD_AnG)_PFA(NC_MJ_GG)_PN(AP).pdf |
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