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Abstract
Giant-cell tumour (GCT) of the bone is a benign neoplasm which commonly occurs in the distal femur, proximal tibia, and distal radius. The proximal humerus is a relatively rare site of occurrence, with a prevalence rate of 4%. We report a case of a 40 years-old male with a recurrent GCT of the proximal humerus. Wide excision and hemiarthroplasty of the shoulder was performed. However, the tumour recurred. Asymptomatic metastasis to the right lower lobe of the lung was found on plain radiograph. We suggest that multiple surgeries would increase the risk of local recurrence of GCT that will lead to pulmonary metastasis.
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References
- Turcotte RE, Wunder JS, Isler MH, Bell RS, Schachar N, Masri BA, et al. Giant cell tumor of long bone: A Canadian sarcoma group study. Clinical Orthopaedics and Related Research. 2002;April(397):248–58.
- Lackman RD, Crawford EA, King JJ, Ogilvie CM. Conservative treatment of campanacci grade III proximal humerus giant cell tumors. Clinical Orthopaedics and Related Research. 2009;467(5):1355–9.
- Getty PJ, Peabody TD. Complications and functional outcomes of reconstruction with an osteoarticular allograft after intra-articular resection of the proximal aspect of the humerus. Journal of Bone and Joint Surgery. 1999;81(8):1138-46.
- Rekha YB, Rao P. Recurrent giant cell tumour in distal humerus: A case report. Journal of Orthopaedic Case Reports. 2013;3(3):42–4.
- Xu H, Niu X. Analysis of the risk factors for local recurrence of giant cell tumor of long bone. Chinese Journal of Oncology. 2014;36(6):465–8.
- Noort-Suijdendorp AP, Kroep JR, Gelderblom H, Hogendoorn PCW, Taminiau AHM, Dijkstra PDS. Risk factors for local recurrence in giant cell tumour (GCT) of the long bone. Orthopaedic procedings. 2018;102(1):S161-175.
- Chan CM, Adler Z, Reith JD, Gibbs CP Jr. Risk factors for pulmonary metastases from giant cell tumor of bone. Journal of Bone and Joint Surgery. 2015;97(5):420–8.
- Nair GG, Supriya NK, Sathi PP. Benign giant cell tumor of bone with pulmonary metastasis- report of two cases and review of literature. International Journal of Research in Medical Sciences. 2017;5(3):1131.
- Wang B, Chen W, Xie X, Tu J, Huang G, Zou C, et al. Development and validation of a prognostic index to predict pulmonary metastasis of giant cell tumor of bone. Oncotarget. 2017;8(64):108054–63.
References
Turcotte RE, Wunder JS, Isler MH, Bell RS, Schachar N, Masri BA, et al. Giant cell tumor of long bone: A Canadian sarcoma group study. Clinical Orthopaedics and Related Research. 2002;April(397):248–58.
Lackman RD, Crawford EA, King JJ, Ogilvie CM. Conservative treatment of campanacci grade III proximal humerus giant cell tumors. Clinical Orthopaedics and Related Research. 2009;467(5):1355–9.
Getty PJ, Peabody TD. Complications and functional outcomes of reconstruction with an osteoarticular allograft after intra-articular resection of the proximal aspect of the humerus. Journal of Bone and Joint Surgery. 1999;81(8):1138-46.
Rekha YB, Rao P. Recurrent giant cell tumour in distal humerus: A case report. Journal of Orthopaedic Case Reports. 2013;3(3):42–4.
Xu H, Niu X. Analysis of the risk factors for local recurrence of giant cell tumor of long bone. Chinese Journal of Oncology. 2014;36(6):465–8.
Noort-Suijdendorp AP, Kroep JR, Gelderblom H, Hogendoorn PCW, Taminiau AHM, Dijkstra PDS. Risk factors for local recurrence in giant cell tumour (GCT) of the long bone. Orthopaedic procedings. 2018;102(1):S161-175.
Chan CM, Adler Z, Reith JD, Gibbs CP Jr. Risk factors for pulmonary metastases from giant cell tumor of bone. Journal of Bone and Joint Surgery. 2015;97(5):420–8.
Nair GG, Supriya NK, Sathi PP. Benign giant cell tumor of bone with pulmonary metastasis- report of two cases and review of literature. International Journal of Research in Medical Sciences. 2017;5(3):1131.
Wang B, Chen W, Xie X, Tu J, Huang G, Zou C, et al. Development and validation of a prognostic index to predict pulmonary metastasis of giant cell tumor of bone. Oncotarget. 2017;8(64):108054–63.