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Intrathoracic Extension of a Giant Cell Tumour of the Medial End of Clavicle: A Case Report with Review of Literature
Indian Journal of Orthopaedics ( IF 1.1 ) Pub Date : 2022-09-02 , DOI: 10.1007/s43465-022-00726-0
Shaswat Mishra 1 , Manish Jain 1 , Sandeep Gavhale 1 , Sagar Bansal 1 , Sanjeev Ghildiyal 1 , Mitali Mokashi 1
Affiliation  

Introduction

The clavicle is a very rare site for primary bone tumours, and Giant cell tumours of the clavicle are even rarer. Very few cases have been reported in the literature.

Method

The authors report a rare presentation of intrathoracic extension of a giant cell tumour of the medial end of the clavicle, in an 18-year-old female. The patient had painful swelling at the sternal end of the clavicle associated with a painful shoulder range of motion. Complete resection of the mass was done, preserving the lateral half of the clavicle.

Result and Discussion

At a 3-year follow-up, the patient has a good clinical outcome with no signs of recurrence. Being a very rare entity, no clear guidelines are available for the management of GCT of Clavicle. Adequate resection of the tumour mass remains the mainstay of treatment and has shown promising results. Denosumab has been proved to be effective in some studies, but the high cost of treatment is a major limitation in the Indian scenario.

Conclusion

Resection of the tumour mass with partial cleidectomy provided good results in this patient.



中文翻译:

锁骨内侧端巨细胞瘤胸腔内扩展一例并文献复习

介绍

锁骨是原发性骨肿瘤非常罕见的部位,锁骨巨细胞瘤更是罕见。文献中报道的病例很少。

方法

作者报告了一名 18 岁女性罕见的锁骨内侧巨细胞肿瘤胸腔内扩散的病例。患者锁骨胸骨端有疼痛肿胀,伴有疼痛的肩部活动范围。完全切除肿块,保留锁骨的外侧一半。

结果与讨论

3年随访后,患者临床结果良好,没有复发迹象。作为一种非常罕见的实体,锁骨巨细胞瘤的治疗尚无明确的指南。充分切除肿瘤块仍然是治疗的主要方法,并已显示出有希望的结果。狄诺塞麦已在一些研究中被证明是有效的,但高昂的治疗费用是印度情况的主要限制。

结论

通过部分锁骨切除术切除肿瘤块为该患者提供了良好的效果。

更新日期:2022-09-02
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