Giant cell tumor of the talus with pulmonary metastasis.pdf

The Foot 16 (2006) 107–111 Case report Giant cell tumor of the talus with pulmonary metastasis Seven years follow up Andre?s Combalia-Aleu a, Sergi Sastre a,?, Pablo Ferna?ndez-de-Retana a, Xavier Toma?s b, Antonio Palac??n c a Department of Orthopedic Surgery, Muskuloskeletal Oncology Unit, Hospital Cl??nic Universitari de Barcelona, Spain b Department of Radiology, Muskuloskeletal Oncology Unit, Hospital Cl??nic Universitari de Barcelona, Spain c Department of Pathology, Muskuloskeletal Oncology Unit, Hospital Cl??nic Universitari de Barcelona, Spain Abstract Objective: Reconstruction of a giant cell tumor (GCT) with joint involvement is sometimes difficult. The talus is an unfrequent localization and the associated lung metastasis has not been previously described. We have treated a patient with aggressive curettage and paked the cavity with bone cement preserving the join function. Result at seven years is shown. Patients andmethod: A 31-year-old woman was remitted to our institution for presenting talus GCT; an intralesional aggressive curettage of the l w R o C p g ? 1 b l f m o m r f t g p c B 0 desion was made. In a routinely revision, one year after surgery, a nodule in the lung was detected and a segmentectomy with videothoracoscopy as performed. esults: Seven years after the initial surgery the patient is free from illness, the range of motion of the ankle has a limitation of the last 20? f dorsal flexion, and the patient is able to walk without pain. onclusions: Most of the patients with bone GCT can be treated satisfactorily with intralesional resections associated with adjuvant therapies reserving joint cartilage and function. It is important to control the lung metastasis appearance in the first three years. Metastatic disease in iant cell tumor does not carry the same poor prognosis as it does in malignant tumors 2006 Elsevier Ltd. All rights reserved. . Introduction Although classified as benign, giant cell tumor (GCT) of one is known for its local