title: [Are non-radical interventions in giant cell tumors justifiable?].
abstract: Eleven patients treated for giant cell tumors between 1966 and 1988 were followed up. Excochleations, i.e., thorough curettage and filling with spongiosa, were performed as a primary procedure in nine cases. Of these, en-bloc excision with Juvara plasty and amputation of the distal portion of the lower leg were necessary in one case each a week after confirmation of malignant degenerations. The mean duration of follow-up was 10.5 years; two recurrences were found among seven excochleations and one among four excisions. Taking function disturbances and their avoidance into account, excochleation and spongiosa filling appear justifiable as a form of primary therapy.
authors.affiliation: Orthopädische Universitätsklinik, Würzburg.
authors.forename: G
authors.initials: G
authors.lastname: Felmet
authors.forename: L
authors.initials: L
authors.lastname: Rabenseifner
mesh_terms: D000328:Adult; D001859:Bone Neoplasms / Q000601:surgery*; D016025:Bone Transplantation; D005260:Female; D005500:Follow-Up Studies; D005870:Giant Cell Tumors / Q000601:surgery*; D006801:Humans; D007719:Knee Joint / Q000601:surgery; D008297:Male; D011884:Radius / Q000601:surgery; D013977:Tibia / Q000601:surgery
vernacular_title: Sind unradikale Eingriffe bei Riesenzelltumoren vertretbar?