title: Recalcitrant tumor of the fifth metacarpal bone in a hemodialyzed patient.
abstract: The article presents a case report about a 38-year-old hemodialyzed woman who presented to our department with a painful, expansile, lytic bone lesion of the fifth metacarpal epiphysis. The lesion was resected and replaced by corticocancellous bone graft. At 3 months, imaging suggested signs of graft resorption and local recurrence which necessitated repeat excision and grafting. Because of secondary parathyroidism subsequent subtotal parathyroidectomy was performed. This procedure leads to appropriate bone remodeling by 8 weeks postoperatively, and recurrence has not been observed at 2 years of follow up.
authors: Department and Clinic of Traumatology and Hand Surgery, Wrocław Medical University, Wrocław, Poland.
authors: Paweł
authors: P
authors: Reichert
authors: Department and Clinic of Nephrology and Transplantation Medicine, Wrocław Medical University, Wrocław, Poland.
authors: Tomasz
authors: T
authors: Gołębiowski
authors: Department of Pathomorphology and Oncologic Cytology, Wrocław Medical University, Wrocław, Poland.
authors: Przemysław
authors: P
authors: Kowalski
authors: Department and Clinic of Traumatology and Hand Surgery, Wrocław Medical University, Wrocław, Poland.
authors: Jerzy
authors: J
authors: Gosk
mesh_terms: D000328:Adult; D001859:Bone Neoplasms / Q000150:complications* / Q000473:pathology; D005260:Female; D006801:Humans; D050279:Metacarpal Bones / Q000002:abnormalities*; D006435:Renal Dialysis / Q000009:adverse effects*
keywords: Bone tumors; brown tumor; giant cell tumor; metacarpal