2014Unpublished venueRequires access

Giant cell tumour of Talus: A Case Report -

Nadeem Ali, Abedullah Bhat, Firdous Ahmad Bangroo, Manjeet Singh Dhanda, Ashok Sangwaiya, Neha Garg

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Abstract

Giant cell tumor (GCT) of bone involving small bones of hand and feet is a rare entity. But in foot and hand it is more aggressive and recurrence rate is high as compared to long bones. We report a rare case of GCT of talus that was managed on the lines of tuberculosis by an orthopaedic surgeon for six months. Core biopsy of the lesion revealed multinucleate giant cells on histopathological examination suggestive of GCT or aenurysmal bone cyst (ABC). Extended curettage and bone grafting was done. Histopathology of the curettage confirmed the lesion as GCT. The patient was followed for a period of 30 months and there was no local recurrence or lung metastasis. So it is concluded lytic lesion involving small bones of hand and feet can be a presentation of any disease ranging from infection to a tumor and GCT should always be kept as a differential. And these lesions should be routinely subjected to core or open biopsy to confirm the clinical diagnosis.

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What this paper is about

Giant cell tumor (GCT) of bone involving small bones of hand and feet is a rare entity. But in foot and hand it is more aggressive and recurrence rate is high as compared to long bones. We report a rare case of GCT of talus that was managed on the lines of tuberculosis by an orthopaedic surgeon for six months. Core biopsy of the lesion revealed multinucleate giant cells on histopathological examination suggestive of GCT or aenurysmal bone cyst (ABC). Extended curettage and bone grafting was done. Histopathology of the curettage confirmed the lesion as GCT. The patient was followed for a period of 30 months and there was no local recurrence or lung metastasis. So it is concluded lytic lesion involving small bones of hand and feet can be a presentation of any disease ranging from infection to a tumor and GCT should always be kept as a differential. And these lesions should be routinely subjected to core or open biopsy to confirm the clinical diagnosis.

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Available abstract

Giant cell tumor (GCT) of bone involving small bones of hand and feet is a rare entity. But in foot and hand it is more aggressive and recurrence rate is high as compared to long bones. We report a rare case of GCT of talus that was managed on the lines of tuberculosis by an orthopaedic surgeon for six months. Core biopsy of the lesion revealed multinucleate giant cells on histopathological examination suggestive of GCT or aenurysmal bone cyst (ABC). Extended curettage and bone grafting was done. Histopathology of the curettage confirmed the lesion as GCT. The patient was followed for a period of 30 months and there was no local recurrence or lung metastasis. So it is concluded lytic lesion involving small bones of hand and feet can be a presentation of any disease ranging from infection to a tumor and GCT should always be kept as a differential. And these lesions should be routinely subjected to core or open biopsy to confirm the clinical diagnosis.

Key concepts: Medicine, Curettage, Giant cell, Giant-cell tumor of bone, Lesion, Aneurysmal bone cyst, Histopathology, Differential diagnosis

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