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Management of aggressive giant cell tumor of calcaneal bone: A case report

INTRODUCTION: Prevalence of giant cell tumor (GCT) at atypical locations like bones of the feet are rare, seen in <1% of cases. GCT may have aggressive features, including cortical expansion or destruction with a soft-tissue component. Difficult diagnosis most often followed with complicated mana...

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Autores principales: Kamal, Achmad Fauzi, Waryudi, Agus, Effendi, Zuhri, Kodrat, Evelina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5061111/
https://www.ncbi.nlm.nih.gov/pubmed/27718436
http://dx.doi.org/10.1016/j.ijscr.2016.09.038
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author Kamal, Achmad Fauzi
Waryudi, Agus
Effendi, Zuhri
Kodrat, Evelina
author_facet Kamal, Achmad Fauzi
Waryudi, Agus
Effendi, Zuhri
Kodrat, Evelina
author_sort Kamal, Achmad Fauzi
collection PubMed
description INTRODUCTION: Prevalence of giant cell tumor (GCT) at atypical locations like bones of the feet are rare, seen in <1% of cases. GCT may have aggressive features, including cortical expansion or destruction with a soft-tissue component. Difficult diagnosis most often followed with complicated management and high recurrence rate remains a challenge that is rarely reported. PRESENTATION OF CASE: We presented a case of forty-six-year-old male patient with giant cell tumor of the right calcaneus Campanacci 3 with secondary aneurysmal bone cyst (ABC). Wide excision total calcaneoctomy, followed by reconstruction bone defect using femoral head allograft and soft tissue coverage with sural flap had been done. DISCUSSION: Conservative surgery with careful curettage and placement of bone cement should be considered the treatment of choice when feasible. However, aggressive GCTs may require wide excision and reconstruction or may be amputation. We decided to do salvage surgery since: traditionally curettage is not possible, adequately wide resection of local tumor could be achieved, neurovascular bundle was not involved, and also bone and soft tissue reconstructions could be done. In addition, he refused for amputation. CONCLUSION: Wide excision total calcaneoctomy, bone allograft reconstruction and soft tissue coverage with sural flap is a good option for surgical management in aggressive GCT of calcaneus instead of amputation.
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spelling pubmed-50611112016-10-17 Management of aggressive giant cell tumor of calcaneal bone: A case report Kamal, Achmad Fauzi Waryudi, Agus Effendi, Zuhri Kodrat, Evelina Int J Surg Case Rep Case Report INTRODUCTION: Prevalence of giant cell tumor (GCT) at atypical locations like bones of the feet are rare, seen in <1% of cases. GCT may have aggressive features, including cortical expansion or destruction with a soft-tissue component. Difficult diagnosis most often followed with complicated management and high recurrence rate remains a challenge that is rarely reported. PRESENTATION OF CASE: We presented a case of forty-six-year-old male patient with giant cell tumor of the right calcaneus Campanacci 3 with secondary aneurysmal bone cyst (ABC). Wide excision total calcaneoctomy, followed by reconstruction bone defect using femoral head allograft and soft tissue coverage with sural flap had been done. DISCUSSION: Conservative surgery with careful curettage and placement of bone cement should be considered the treatment of choice when feasible. However, aggressive GCTs may require wide excision and reconstruction or may be amputation. We decided to do salvage surgery since: traditionally curettage is not possible, adequately wide resection of local tumor could be achieved, neurovascular bundle was not involved, and also bone and soft tissue reconstructions could be done. In addition, he refused for amputation. CONCLUSION: Wide excision total calcaneoctomy, bone allograft reconstruction and soft tissue coverage with sural flap is a good option for surgical management in aggressive GCT of calcaneus instead of amputation. Elsevier 2016-09-28 /pmc/articles/PMC5061111/ /pubmed/27718436 http://dx.doi.org/10.1016/j.ijscr.2016.09.038 Text en © 2016 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Kamal, Achmad Fauzi
Waryudi, Agus
Effendi, Zuhri
Kodrat, Evelina
Management of aggressive giant cell tumor of calcaneal bone: A case report
title Management of aggressive giant cell tumor of calcaneal bone: A case report
title_full Management of aggressive giant cell tumor of calcaneal bone: A case report
title_fullStr Management of aggressive giant cell tumor of calcaneal bone: A case report
title_full_unstemmed Management of aggressive giant cell tumor of calcaneal bone: A case report
title_short Management of aggressive giant cell tumor of calcaneal bone: A case report
title_sort management of aggressive giant cell tumor of calcaneal bone: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5061111/
https://www.ncbi.nlm.nih.gov/pubmed/27718436
http://dx.doi.org/10.1016/j.ijscr.2016.09.038
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