Orthopedics


        

Case Discussion

GCT of the ring finger   Posted By Parag    Date : 13-Apr-08   12:14 AM     Reply

Case of ?recurrent GCT of right (dominant hand) ring finger proximal phalanx in 20 yr male. Pt gives h/o mild occasional pain since last 4 months. Xrays showed a small well defined lytic lesion, without ballooning of cortices or soft tissue involvement, near the distal end of the phalanx (approx. 5mm x 5mm) - these xrays are not available. Curettage was done, probably thinking it to be an enchondroma. The biopsy proved inconclusive. 2 months after this, he presented to me with bony enlargement of the same phalanx. C arm images are attached herewith. Core biopsy is suggestive of Giant cell tumor, with no evidence of malignancy. Adjacent joints are freely movable, there is no distal NV impairment. How to proceed?


Replies to the above case discussion :

Re : GCT of the ring finger - Dr. Rahul Katta 14-Apr-08    01:32 PM




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