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Recurrent Adolescent Giant-Cell Tumor of the Scaphoid: Scaphoid Excision with Intracarpal Fusion after Failed Curettage and Bone Grafting

We present a case of the giant-cell tumor of bone in the scaphoid of a 17-year-old female. Imaging revealed an expansile lytic lesion of her scaphoid, and the diagnosis was confirmed with open biopsy. She was treated with curettage and iliac crest bone graft, in an effort to spare reconstruction of...

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Autores principales: Hoedt, Chris, Makar, Gabriel S., Gutowski, Christina J., Holdbrook, Thomas, Kim, Tae Won B., Fuller, David A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6481125/
https://www.ncbi.nlm.nih.gov/pubmed/31093399
http://dx.doi.org/10.1155/2019/7571486
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author Hoedt, Chris
Makar, Gabriel S.
Gutowski, Christina J.
Holdbrook, Thomas
Kim, Tae Won B.
Fuller, David A.
author_facet Hoedt, Chris
Makar, Gabriel S.
Gutowski, Christina J.
Holdbrook, Thomas
Kim, Tae Won B.
Fuller, David A.
author_sort Hoedt, Chris
collection PubMed
description We present a case of the giant-cell tumor of bone in the scaphoid of a 17-year-old female. Imaging revealed an expansile lytic lesion of her scaphoid, and the diagnosis was confirmed with open biopsy. She was treated with curettage and iliac crest bone graft, in an effort to spare reconstruction of her wrist. After one year, she developed increasing tightness and pain. Local recurrence was apparent on radiographs, and CT revealed increased lucency with bony destruction in the area of prior excision. She was successfully treated, without recurrence to date, with complete scaphoid excision and a four-corner wrist fusion. Local recurrence of the giant-cell tumor of bone is high, especially in carpal bones. When treating patients with advanced lesions, more aggressive initial options should be considered.
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spelling pubmed-64811252019-05-15 Recurrent Adolescent Giant-Cell Tumor of the Scaphoid: Scaphoid Excision with Intracarpal Fusion after Failed Curettage and Bone Grafting Hoedt, Chris Makar, Gabriel S. Gutowski, Christina J. Holdbrook, Thomas Kim, Tae Won B. Fuller, David A. Case Rep Orthop Case Report We present a case of the giant-cell tumor of bone in the scaphoid of a 17-year-old female. Imaging revealed an expansile lytic lesion of her scaphoid, and the diagnosis was confirmed with open biopsy. She was treated with curettage and iliac crest bone graft, in an effort to spare reconstruction of her wrist. After one year, she developed increasing tightness and pain. Local recurrence was apparent on radiographs, and CT revealed increased lucency with bony destruction in the area of prior excision. She was successfully treated, without recurrence to date, with complete scaphoid excision and a four-corner wrist fusion. Local recurrence of the giant-cell tumor of bone is high, especially in carpal bones. When treating patients with advanced lesions, more aggressive initial options should be considered. Hindawi 2019-04-09 /pmc/articles/PMC6481125/ /pubmed/31093399 http://dx.doi.org/10.1155/2019/7571486 Text en Copyright © 2019 Chris Hoedt et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Hoedt, Chris
Makar, Gabriel S.
Gutowski, Christina J.
Holdbrook, Thomas
Kim, Tae Won B.
Fuller, David A.
Recurrent Adolescent Giant-Cell Tumor of the Scaphoid: Scaphoid Excision with Intracarpal Fusion after Failed Curettage and Bone Grafting
title Recurrent Adolescent Giant-Cell Tumor of the Scaphoid: Scaphoid Excision with Intracarpal Fusion after Failed Curettage and Bone Grafting
title_full Recurrent Adolescent Giant-Cell Tumor of the Scaphoid: Scaphoid Excision with Intracarpal Fusion after Failed Curettage and Bone Grafting
title_fullStr Recurrent Adolescent Giant-Cell Tumor of the Scaphoid: Scaphoid Excision with Intracarpal Fusion after Failed Curettage and Bone Grafting
title_full_unstemmed Recurrent Adolescent Giant-Cell Tumor of the Scaphoid: Scaphoid Excision with Intracarpal Fusion after Failed Curettage and Bone Grafting
title_short Recurrent Adolescent Giant-Cell Tumor of the Scaphoid: Scaphoid Excision with Intracarpal Fusion after Failed Curettage and Bone Grafting
title_sort recurrent adolescent giant-cell tumor of the scaphoid: scaphoid excision with intracarpal fusion after failed curettage and bone grafting
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6481125/
https://www.ncbi.nlm.nih.gov/pubmed/31093399
http://dx.doi.org/10.1155/2019/7571486
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