Ischiopubic Ramus Resection as Treatment for Giant Cell Tumor of the Bone: Surgical Techniques in Two Clinical Cases

Giant cell tumors (GCTs) of the ischium are rare and often diagnosed at an advanced stage. In fact, there is no defined treatment algorithm to treat this lesion. We present two case reports of Campanacci's stage three ischiopubic GCT confirmed with biopsy. They were effectively treated with exc...

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Detalles Bibliográficos
Autores principales: Sousa, Diogo, Pita, Sérgio, Oliveira, Vânia, Cardoso, Pedro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Oncology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10589802/
https://www.ncbi.nlm.nih.gov/pubmed/37868403
http://dx.doi.org/10.7759/cureus.45661
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author Sousa, Diogo
Pita, Sérgio
Oliveira, Vânia
Cardoso, Pedro
author_facet Sousa, Diogo
Pita, Sérgio
Oliveira, Vânia
Cardoso, Pedro
author_sort Sousa, Diogo
collection PubMed
description Giant cell tumors (GCTs) of the ischium are rare and often diagnosed at an advanced stage. In fact, there is no defined treatment algorithm to treat this lesion. We present two case reports of Campanacci's stage three ischiopubic GCT confirmed with biopsy. They were effectively treated with excision of the ischiopubic ramus, aggressive curettage, drilling, and phenolization at the margins. The surgery was performed in a gynecological position with an approach over the ischiopubic ramus. Both cases present no recurrence (two and 10-year follow-up), and neither has a significant impact on the quality of life. A thorough plan and surgical technique were essential for the success of this intervention.
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spelling pubmed-105898022023-10-22 Ischiopubic Ramus Resection as Treatment for Giant Cell Tumor of the Bone: Surgical Techniques in Two Clinical Cases Sousa, Diogo Pita, Sérgio Oliveira, Vânia Cardoso, Pedro Cureus Oncology Giant cell tumors (GCTs) of the ischium are rare and often diagnosed at an advanced stage. In fact, there is no defined treatment algorithm to treat this lesion. We present two case reports of Campanacci's stage three ischiopubic GCT confirmed with biopsy. They were effectively treated with excision of the ischiopubic ramus, aggressive curettage, drilling, and phenolization at the margins. The surgery was performed in a gynecological position with an approach over the ischiopubic ramus. Both cases present no recurrence (two and 10-year follow-up), and neither has a significant impact on the quality of life. A thorough plan and surgical technique were essential for the success of this intervention. Cureus 2023-09-21 /pmc/articles/PMC10589802/ /pubmed/37868403 http://dx.doi.org/10.7759/cureus.45661 Text en Copyright © 2023, Sousa et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Oncology
Sousa, Diogo
Pita, Sérgio
Oliveira, Vânia
Cardoso, Pedro
Ischiopubic Ramus Resection as Treatment for Giant Cell Tumor of the Bone: Surgical Techniques in Two Clinical Cases
title Ischiopubic Ramus Resection as Treatment for Giant Cell Tumor of the Bone: Surgical Techniques in Two Clinical Cases
title_full Ischiopubic Ramus Resection as Treatment for Giant Cell Tumor of the Bone: Surgical Techniques in Two Clinical Cases
title_fullStr Ischiopubic Ramus Resection as Treatment for Giant Cell Tumor of the Bone: Surgical Techniques in Two Clinical Cases
title_full_unstemmed Ischiopubic Ramus Resection as Treatment for Giant Cell Tumor of the Bone: Surgical Techniques in Two Clinical Cases
title_short Ischiopubic Ramus Resection as Treatment for Giant Cell Tumor of the Bone: Surgical Techniques in Two Clinical Cases
title_sort ischiopubic ramus resection as treatment for giant cell tumor of the bone: surgical techniques in two clinical cases
topic Oncology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10589802/
https://www.ncbi.nlm.nih.gov/pubmed/37868403
http://dx.doi.org/10.7759/cureus.45661
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