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KMID : 0613320100160020052
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Journal of the Korean Bone and Joint Tumor Soceity
2010 Volume.16 No. 2 p.52 ~ p.54
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Analysis of Local Recurrence of Giant Cell Tumor
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Cheon Sang-Ho
Park Il-Hyung
Cho Hwan-Seong
Kim Do-Hyung
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Abstract
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Purpose: This study was aimed to evaluate the recurrence rate of a giant cell tumor (GCT) of the bone.
Materials and Methods: The medical records of fifty four patients who were diagnosed with a giant cell tumor of the bone between March 1980 and December 2008 were analysed retrospectively. Among 54 patients, 27 were men, remaining 27 were women with the mean age of 33.1 years (range, 13-67 years). The mean duration of follow-up was 67.1 months.
Results:Twenty-one patients (38.9%) had a local recurrence. The mean time to recurrence was 21.5 months (range, 2-59 months). The local recurrence rate of the upper extremities was higher than that of lower extremities. According to Campanacci classification, patients with a grade I diseae had lower recurrence rate than those with grade II or III disease. There was no significant differences in the recurrence rates based on cryotherapy, the filling of bone cement or bone grafts and surgical margin.
Conslusion: To prevent local recurrence of GCT of bone, curettage of the tumor and elimination of the remaining cells are more important than adjuvant therapy.
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KEYWORD
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giant cell tumor of the bone, recurrence rate
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