A Case Report of Giant Cell Tumor of Proximal Fibula in Children

Authors

  • Sushil Adhikari Orthopedic Surgery Unit, Department of Surgical Oncology, BPKMCH Chtiwan
  • Arun Sigdel Orthopedic Surgery Unit, Department of Surgical Oncology, B.P. Koirala Memorial Cancer Hospital Chitwan
  • Rajesh Kumar Sah Department of Orthopedics, College of Medical Sciences Teaching Hospital Chitwan
  • Luna Devkota Department of Public Health , Shree Medical and Technical College, Chitwan

DOI:

https://doi.org/10.3126/njc.v4i1.31783

Keywords:

Giant Cell Tumor, Wide Local Excision, Fibula

Abstract

Giant cell tumour (GCT) is histopathologically benign tumor of long bone particularly in distal femur and the proximal tibia. It commonly occurs in adults of age 20-40 years but rare in children. GCT is considered to be locally aggressive tumor and tendency of recurrence is higher even after surgery. The clinical features are nonspecific, the principle symptoms are pain, swelling and limiting adjacent joint movements. Diagnosis is based on the radiographic appearance and histopathological findings .In our case X-ray showed ill defined lytic lesion on proximal fibula with cortical thinning and MRI finding revealed expansile lyticlesion in meta-epiphysis of right fibula 16×16×28mm adjacent to growth plate with fluid level. The sclerotic rim appears hypo intense on T1 & hyper intense on T2. Core needle biopsy showed giant cell tumor on proximal fibula. Considering the risk of recurrence wide local excision was done. Management of GCT of proximal fibula in young patient is critical for preventing recurrence and enhancing functional outcomes by saving adjacent anatomical structure. No evidence of local recurrence and metastasis was found in 24 months of follow up.

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Published

2020-10-04

How to Cite

Adhikari, S., Sigdel, A., Sah, R. K., & Devkota, L. (2020). A Case Report of Giant Cell Tumor of Proximal Fibula in Children. Nepalese Journal of Cancer, 4(1), 64–67. https://doi.org/10.3126/njc.v4i1.31783

Issue

Section

Case Reports