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Rare Giant Cell Tumor of Olecranon Bone!!!!

INTRODUCTION: Giant cell tumor (GCT) is a bone tumor involving epiphyseal area of bone abutting the subchondral bone. Commonly found in long bones such as proximal tibia and distal femur. We report a case of GCT of olecranon bone in a 23-year-old male. CASE REPORT: A 23-year-old patient presented to...

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Autores principales: Goyal, Pawan, Gautam, Vishal, Saini, Narender, Sharma, Yogesh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Orthopaedic Research Group 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5288618/
https://www.ncbi.nlm.nih.gov/pubmed/28164048
http://dx.doi.org/10.13107/jocr.2250-0685.556
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author Goyal, Pawan
Gautam, Vishal
Saini, Narender
Sharma, Yogesh
author_facet Goyal, Pawan
Gautam, Vishal
Saini, Narender
Sharma, Yogesh
author_sort Goyal, Pawan
collection PubMed
description INTRODUCTION: Giant cell tumor (GCT) is a bone tumor involving epiphyseal area of bone abutting the subchondral bone. Commonly found in long bones such as proximal tibia and distal femur. We report a case of GCT of olecranon bone in a 23-year-old male. CASE REPORT: A 23-year-old patient presented to our outpatient department with pain and mild swelling at the elbow from last 2 to 3 months. On examination, it was seen that there was a moderate swelling at the tip of the olecranon. The magnetic resonance imaging reported a lytic lesion in the olecranon but sparing the coronoid process of the ulna, the biopsy report confirmed that histologically it was a GCT of the bone. Total excision of the tumor was done after lifting the aponeurosis of the triceps muscle. The area remaining after excision of the tumor was phenol cauterized and cleaned with hydrogen peroxide solution. Triceps was reinserted on the remaining ulna. At follow-up the radiographs showed adequate excision of the tumor. The patient gained a full range of movement at the elbow and was functionally restored. There were no signs of any systemic spread of the tumor. CONCLUSION: GCT though a very common bone tumor could be missed if present in atypical locations. Radiographically soap bubble appearance might not be present in every case, and there could be multiple diagnoses for lytic lesion in bone. Proper investigations and histopathological examination are necessary for accurate diagnosis and further treatment planning. Early treatment helps in complete excision of tumor along with return of adequate function of the patient.
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spelling pubmed-52886182017-02-03 Rare Giant Cell Tumor of Olecranon Bone!!!! Goyal, Pawan Gautam, Vishal Saini, Narender Sharma, Yogesh J Orthop Case Rep Case Report INTRODUCTION: Giant cell tumor (GCT) is a bone tumor involving epiphyseal area of bone abutting the subchondral bone. Commonly found in long bones such as proximal tibia and distal femur. We report a case of GCT of olecranon bone in a 23-year-old male. CASE REPORT: A 23-year-old patient presented to our outpatient department with pain and mild swelling at the elbow from last 2 to 3 months. On examination, it was seen that there was a moderate swelling at the tip of the olecranon. The magnetic resonance imaging reported a lytic lesion in the olecranon but sparing the coronoid process of the ulna, the biopsy report confirmed that histologically it was a GCT of the bone. Total excision of the tumor was done after lifting the aponeurosis of the triceps muscle. The area remaining after excision of the tumor was phenol cauterized and cleaned with hydrogen peroxide solution. Triceps was reinserted on the remaining ulna. At follow-up the radiographs showed adequate excision of the tumor. The patient gained a full range of movement at the elbow and was functionally restored. There were no signs of any systemic spread of the tumor. CONCLUSION: GCT though a very common bone tumor could be missed if present in atypical locations. Radiographically soap bubble appearance might not be present in every case, and there could be multiple diagnoses for lytic lesion in bone. Proper investigations and histopathological examination are necessary for accurate diagnosis and further treatment planning. Early treatment helps in complete excision of tumor along with return of adequate function of the patient. Indian Orthopaedic Research Group 2016 /pmc/articles/PMC5288618/ /pubmed/28164048 http://dx.doi.org/10.13107/jocr.2250-0685.556 Text en Copyright: © Indian Orthopaedic Research Group http://creativecommons.org/licenses/by-nc-sa/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc-sa/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Goyal, Pawan
Gautam, Vishal
Saini, Narender
Sharma, Yogesh
Rare Giant Cell Tumor of Olecranon Bone!!!!
title Rare Giant Cell Tumor of Olecranon Bone!!!!
title_full Rare Giant Cell Tumor of Olecranon Bone!!!!
title_fullStr Rare Giant Cell Tumor of Olecranon Bone!!!!
title_full_unstemmed Rare Giant Cell Tumor of Olecranon Bone!!!!
title_short Rare Giant Cell Tumor of Olecranon Bone!!!!
title_sort rare giant cell tumor of olecranon bone!!!!
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5288618/
https://www.ncbi.nlm.nih.gov/pubmed/28164048
http://dx.doi.org/10.13107/jocr.2250-0685.556
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