scholarly journals TREATMENT OF AGGRESSIVE GIANT CELL TUMOR: INTRALESIONAL CURETTAGE VS RESECTION ENDOPROTHESIS A SYSTEMATIC REVIEW/META ANALYSIS

2020 ◽  
Vol 71 (4) ◽  
pp. 915-926
Author(s):  
Mohamed Mostafa ◽  
Sherif Azmy ◽  
Hany El Sawy
2013 ◽  
Vol 7 (1) ◽  
pp. 103-108 ◽  
Author(s):  
Theresa J.C Pazionis ◽  
Hussain Alradwan ◽  
Benjamin M Deheshi ◽  
Robert Turcotte ◽  
Forough Farrokhyar ◽  
...  

Introduction: Surgical management of Giant Cell Tumor of Bone of the distal radius (GCTDR) remains controversial due to risk of local recurrence (LR) offset by functional limitations which result from en-bloc resection. This study aims to determine the oncologic and functional outcomes of wide excision (WE) vs intralesional curettage (IC) of GCTDR. Methods: A complete search of the applicable literature was done. Included studies reported on patients from the same cohort who were surgically treated for GCTDR with WE or IC. Two reviewers independently assessed all papers. The primary outcome measure was LR. Results: One-hundred-forty-one patients from six studies were included: 60 treated with WE, and 81 with IC. Five WE patients (8%) suffered LR whereas 25 IC patients (31%) did. The odds of LR were three times less in the WE group vs the IC group. MSTS1993 scores, where available, were on average 'good' with WE and 'excellent' with IC. Conclusions: Within statistical limitations the data support an attempt, where feasible, at wrist joint preservation and superior function with IC. Intralesional curettage is reasonable when the functional benefit outweighs the risk of recurrence as is the case in many cases of GCT of the distal radius.


2016 ◽  
Vol 96 ◽  
pp. 47-57 ◽  
Author(s):  
Jacob L. Freeman ◽  
Soliman Oushy ◽  
Jeffrey Schowinsky ◽  
Stefan Sillau ◽  
A. Samy Youssef

2021 ◽  
Vol 12 (2) ◽  
pp. 508-517
Author(s):  
Yongzhao Zhao ◽  
Zhenyu Cai ◽  
Xiaodong Tang ◽  
Zhiye Du ◽  
Yi Yang ◽  
...  

2018 ◽  
Vol 48 (7) ◽  
pp. 640-652 ◽  
Author(s):  
Boris Itkin ◽  
Samanta Straminsky ◽  
Gabriela De Ronato ◽  
Daniel Lewi ◽  
Adolfo Marantz ◽  
...  

2020 ◽  
Vol 138 (5) ◽  
pp. 393-399
Author(s):  
Zihao Wan ◽  
Chien-Wei Lee ◽  
Shuai Yuan ◽  
Oscar Kuang-Shen Lee

Sarcoma ◽  
2010 ◽  
Vol 2010 ◽  
pp. 1-5 ◽  
Author(s):  
H. Algawahmed ◽  
Robert Turcotte ◽  
F. Farrokhyar ◽  
M. Ghert

Local control rates for Giant Cell Tumor of Bone (GCT) have been reported in a large number of retrospective series. However, there remains a lack of consensus with respect to the need for a surgical adjuvant when intralesional curettage is performed. We have systematically reviewed the literature and identified six studies in which two groups from the same patient cohort were treated with intralesional curettage and high-speed burring with or without a chemical or thermal adjuvant. Studies were evaluated for quality and pooled data was analyzed using the fixed effects model. Data from 387 patients did not indicate improved local control with the use of surgical adjuvants. Given the available data, we conclude that surgical adjuvants are not required when meticulous tumor removal is performed.


2018 ◽  
Vol 9 ◽  
pp. S15-S18 ◽  
Author(s):  
Abhijeet Ashok Salunke ◽  
Subodh Pathak ◽  
Jaymin Shah ◽  
Jyotindra Pandit ◽  
Vinod Naneria

2019 ◽  
Vol Volume 11 ◽  
pp. 669-680 ◽  
Author(s):  
Mingmin Shi ◽  
Lei Chen ◽  
Yangxin Wang ◽  
Wei Wang ◽  
Yujie Zhang ◽  
...  

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