Giant cell tumor of talus,a case report of rare site |
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| Institution: | 1. Department of Spinal Surgery, General Hospital of Ningxia Medical University, Yinchuan, China;2. Hillsborough Community College, Tampa, Florida, USA;3. Shanghai Guolong hospital, Shanghai, China;4. Department of Outpatients, General Hospital of Ningxia Medical University, Yinchuan, China;1. Department of Neurosurgery, CN Center, Ansari Nagar, All India Institute of Medical Sciences (AIIMS), New Delhi, India;2. Department of Neuroradiology, CN Center, Ansari Nagar, All India Institute of Medical Sciences (AIIMS), New Delhi, India;3. Department of Neuropathology, CN Center, Ansari Nagar, All India Institute of Medical Sciences (AIIMS), New Delhi, India;1. Department of Orthopedic Surgery, Chiba University Graduate School of Medicine, 1-8-1 Inohana, Chuo-Ku, Chiba 2608670, Japan;2. Department of Orthopedic Surgery, University of Tsukuba, Tsukuba, Japan;3. Department of Orthopedic Surgery, Chiba Aoba Municipal Hospital, Chiba, Japan;1. California Spine, 711 West College Street, Suite 625, Los Angeles, CA 90012, USA;2. Department of Orthopaedic Surgery, Keck School of Medicine, University of Southern California, 711 West College Street, Suite 625, Los Angeles, CA 90012, USA;3. Department of Plastic and Reconstructive Surgery, White Memorial Medical Center, 1720 East Cesar Chavez Avenue, Los Angeles, CA 90033, USA;4. Department of Pathology, College of Medicine, State University of New York, Upstate Medical University, 750 E. Adams Street, Syracuse, NY 13210, USA |
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| Abstract: | Giant cell tumor (osteoclastoma) of talar bone is a rare entity and is seen more commonly in the third decade of life. We report this disease entity in a 21-year-old male who presented with painful swelling of the left ankle. His conventional radiography revealed an osteolytic lesion in the talus, which was further evaluated using computed tomography and magnetic resonance imaging. Intralesional curettage and autologous bone grafting was performed following which patient's pain and swelling disappeared. Complete range of movement at the ankle joint was regained with minimal restriction of movements at the subtalar joint. There was no evidence of recurrence at 6 months follow up.Giant cell tumor (GCT) is most commonly seen in the distal femur Stoker DJ. Bone tumors (1): general characteristics benign lesions. In: Grainger RG, Allison DJ, editors. Diagnostic radiology a textbook of medical imaging. 3rd ed. New York: Churchill Livingston; 1997. p. 629–1660], proximal tibia, distal radius and the proximal humerus in descending order of frequency. GCT is Campanacci M, Baldini N, Boriani S, Sudanese A. Giant cell tumor of bone. J Bone Joint Surg Am 1987; 69:106–14; Wold LE, Swee RG. Giant cell tumor of the small bones of the hand and feet. Semin Diagn Pathol 1984; 1:173–84] uncommon in the small bones of the hand and feet and a very few cases have been reported at these sites. GCT involving the talus is very uncommon and has very rarely been reported. The treatment of choice is intralesional curettage. In recent times, cementing and cryotherapy have increasingly been used with encouraging results. Recurrence is very common in this locally aggressive benign neoplasm. |
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