title: Giant cell tumor of the lower end of tibia. Curettage and cement reconstruction.
abstract: Bone giant cell tumor (GCT) is a rare, generally benign and locally aggressive tumor. It accounts for about 5% of all primary bone tumors and is located preferentially on the epiphyseal long bone. Ankle localization is rare. We present two cases of GCT of the lower end of tibia, presenting as gradually increasing pain and swelling in the tibial pilon over the course of 3 months. Standard radiology and MRI showed large eccentric, expansile lesion in the distal tibia with rupture of the cortex suggestive of a malignant tumor of the bone. A biopsy was performed which confirmed a GCT of bone. Curettage of the lesion and packing the cavity with bone cement resulted in disappearance of the tumor with good functional recovery. We conclude that intralesional curettage and cement packing is a good treatment option for Campanacci grade 2 and 3 GCT lesions of lower tibia.
authors: Department of Orthopaedics, Sahloul University Hospital, Sousse, Tunisia.
authors: Walid
authors: W
authors: Osman
authors: Department of Orthopaedics, Sahloul University Hospital, Sousse, Tunisia.
authors: Mohamed
authors: M
authors: Jerbi
authors: Department of Pathology, Farhat Hached University Hospital, Sousse, Tunisia. Electronic address: benabdelkrims@voila.fr.
authors: Soumaya
authors: S
authors: Ben Abdelkrim
authors: Department of Physiatrics, Sahloul University Hospital, Sousse, Tunisia.
authors: Khaled
authors: K
authors: Maaref
authors: Department of Orthopaedics, Sahloul University Hospital, Sousse, Tunisia.
authors: Mahmoud
authors: M
authors: Ben Maitigue
authors: Department of Orthopaedics, Sahloul University Hospital, Sousse, Tunisia.
authors: Mohamed Laziz
authors: ML
authors: Ben Ayèche
mesh_terms: D000328:Adult; D001843:Bone Cements; D001859:Bone Neoplasms / Q000601:surgery*; D002484:Cementation; D003475:Curettage; D005260:Female; D018212:Giant Cell Tumor of Bone / Q000601:surgery*; D006801:Humans; D019651:Plastic Surgery Procedures; D013977:Tibia / Q000601:surgery; D055815:Young Adult
chemical_list: D001843:Bone Cements
keywords: Ankle; Bone; Giant cell tumor; Treatment