Differential diagnoses and therapeutic features of giant cell tumor of the bone in an elderly patient: A case report.
| Title: | Differential diagnoses and therapeutic features of giant cell tumor of the bone in an elderly patient: A case report. |
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| Authors: | Zrig M; Trauma and orthopedics Department, Faculty of Medicine, Fattouma Bourguiba University Hospital, University of Monastir - 1, 1st of June Street, Monastir 5000, Tunisia. Electronic address: zrigmak@yahoo.fr.; Othman Y; Trauma and orthopedics Department, Faculty of Medicine, Fattouma Bourguiba University Hospital, University of Monastir - 1, 1st of June Street, Monastir 5000, Tunisia. Electronic address: youssefothman.fmm@fmm.u-monastir.tn.; Chaouech F; Trauma and orthopedics Department, Faculty of Medicine, Fattouma Bourguiba University Hospital, University of Monastir - 1, 1st of June Street, Monastir 5000, Tunisia.; Maatouk M; Department of Radiology, Faculty of Medicine, Fattouma Bourguiba University Hospital, University of Monastir - 1, 1st of June Street, Monastir 5000, Tunisia.; Zrig A; Department of Radiology, Faculty of Medicine, Fattouma Bourguiba University Hospital, University of Monastir - 1, 1st of June Street, Monastir 5000, Tunisia.; Abid A; Trauma and orthopedics Department, Faculty of Medicine, Fattouma Bourguiba University Hospital, University of Monastir - 1, 1st of June Street, Monastir 5000, Tunisia. |
| Source: | International journal of surgery case reports [Int J Surg Case Rep] 2024 Nov; Vol. 124, pp. 110467. Date of Electronic Publication: 2024 Oct 17. |
| Publication Type: | Case Reports; Journal Article |
| Language: | English |
| Journal Info: | Publisher: Elsevier B.V Country of Publication: Netherlands NLM ID: 101529872 Publication Model: Print-Electronic Cited Medium: Print ISSN: 2210-2612 (Print) Linking ISSN: 22102612 NLM ISO Abbreviation: Int J Surg Case Rep Subsets: PubMed not MEDLINE |
| Imprint Name(s): | Original Publication: [Amsterdam] : Elsevier B.V. |
| Abstract: | Introduction: Giant cells tumor (GCT) of the bone is usually seen in young adults between the ages of 20 and 40. When occurring in older patients, diagnosis and therapeutic specific feature are to be considered. We underline those aspects through this case report.; Case Presentation: We report the case of a 73-year-old man presenting with a painful swelling knee. The diagnosis of GCT of proximal tibia was retained and the patient underwent extensive curettage, subchondral bone grafting and cementation of the residual cavity. The long-term results show a good functional outcome and no recurrence.; Discussion: In this age group, other lesions have similar clinical and radiological presentations as GCT of bone. The diagnosis of a metastatic carcinoma is to be carefully ruled-out in this situation. While the option of large resection with joint arthroplasty is better accepted in ageing patients as a treatment of GCT of bone, this case suggests that jointpreserving methods should also be considered especially when there are no signs of osteoarthritis. While polymethylmethacrylate cementation is an efficient adjuvant in order to reduce recurrences, it may cause secondary osteoarthritis. Subchondral grafting seems to be a good alternative to prevent this complication.; Conclusion: Malignancies should be ruled-out before retaining the diagnosis of GCT of the bone after the age of 50. Conservative surgical treatment is always an option in this age group.; (Copyright © 2024. Published by Elsevier Ltd.) |
| Competing Interests: | Conflict of interest statement None declared. The authors have no financial, consultative, institutional, and other relationships that might lead to bias or conflict of in terest. |
| Contributed Indexing: | Keywords: Bone cement; Bone grafting; Case report; Elderly patient; Giant cell tumor |
| Entry Date(s): | Date Created: 20241019 Latest Revision: 20241102 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC11513688 |
| DOI: | 10.1016/j.ijscr.2024.110467 |
| PMID: | 39426090 |
| Database: | MEDLINE |
Case Reports; Journal Article