[Experience with giant cell tumors]

Authors describe, 64 cases of giant-cell tumour. 5 (9 per cent) was found in the latent, 32 (50 per cent) in the active and 27 (41 per cent) in the aggressive stage when first seen. The operative methods are described and these are determined first of all by the surgical stage of the giant-cell tumour, its size and localization, by the age of the patient and whether primary tumour or a recurrence is found. Based on their experiences, excochleation and filing is suggested in the latent and active stage of this tumour. In tumours in the agressive stage the so called wide resection in the healthy tissue is reasonable. In the rare malignant giant-cell tumour radical resection is suggested. Recurrence was found in 29 per cent after the first operation. Follow-up examinations show that 64 per cent of the patients is symptom free, in 33 per cent the main source of complaints is the consecutive arthrosis, 2 patients were lost in consequence of lung metastasis.