|
KMID : 0613319970030030181
|
|
Journal of the Korean Bone and Joint Tumor Soceity
1997 Volume.3 No. 3 p.181 ~ p.187
|
|
|
Recurrence after Treatment of Giant Cell Tumors in Long Bone
|
|
Rhee Seung-Koo
Woo Young-Kyun
Kang Yong-Koo
Kwon Soon-Yong
Lee Hwa-Sung
Chae Yoon
|
|
|
Abstract
|
|
|
|
The giant cell tumor in long bone recurred regionally after initial treatment in 11 patients out of a total of 78 patients who were treated at Catholic University Medical College since 1980. We tried to define the risk factors for their local recurrence by clinical findings and histologic grading, as well as pre-and post-operative radiologic findings. The results obtained were as follows : 1. The overall recurrence rate was 14.1% [11/78 cases] and most of those recurred within the first year [average 8.1 months] after the initial operation [9/11, 81.8%] 2. The radiologic aggressiveness such as cortical perforation or pathologic fracture, as well as the histologic gradings were not closely related with recurrence of giant cell tumor in long bone. 3. Incomplete excision of the tumor would be the most likely cause of recurrence of a giant cell tumor because local recurrence was found most frequently in the group which was treated with simple curettage but least in the ryosurgery group. Conclusively, the local recurrence of giant cell tumor is not rare but it is often preventable. We found complete tumor excision using cryosurgery with liquid nitrogen followed by autogenous bone graft or cementations is the best method developed up to now for preventing the local recurrence of giant cell tumor.
|
|
|
KEYWORD
|
|
|
Local recurrence of giant cell tumor, Radiologic and histologic grading
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
|