20. Results of surgery for curettage and bone graft to treat bone giant cell tumors

Duong Dinh Toan, Nguyen Trong Tai, Doan Le Vinh

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Abstract

Extensive curettage and bone grafting are common methods for treatment of bone giant cell tumors (GCT). The success rate of this method in different studies varies greatly. Objectives: to analyze the results of 24 cases treated using extensive curettage and bone grafting. Methods: Design of an uncontrolled clinical intervention study on 24 cases of bone GCT, of which 21 new cases and 3 recurrent cases were treated by curettage and autologous bone grafting. Evaluation of GCT stage was based on X-ray and computed tomography. Results: after a follow-up period of more than 2 years, 100% of patients achieved healed bone graft site, 2 patients had recurrent tumors at the previous tumor site representing 8.3%. With lesions at the upper extremities, the average MSTS score was 24.5, of which the lowest was 19, the highest was 28; The mean MSTS score of lesions in the lower extremities was 23.1, of which the lowest was 17 and the highest was 25. Conclusion: Curettage and bone grafting is an effective method in the treatment of GCT. Patient selection as well as strict adherence to the principles of tumor surgery will reduce the recurrence rate.

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References

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