Giant cell tumors of long bones analysis of 21 cases

ABSTRACT

This is a prospective study of giant cell tumors of long bones performed in El-Meno-fyia university hospital in the period from 1997-2002. Twenty one cases were included. There was 13 females and 8 males the mean age of the patients was 34.7 years. The tumor was primary in 15 cases and recurrent in 6 cases. All the patients had been treated with intra-lesional curettage. In 10 patient's curettage and bone graft or bone cement was done. In 11 patients curettage was augmented with high speed burr and or phenol 80%. The overall recurrence rate was 28%. The group of Patients treated with curettage alone had a local recurrence rate of 50%. While those treated with curettage and adjuvant treatment had a local recurrence rate of 9%. There was no difference between cases treated with bone cement or bone graft as regard local recurrence rate. Recurrent tumors treated with curettage had a local recurrence rate of 40%