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Limb Salvage Surgery in Fungating Giant Cell Tumors: A Report of Three Cases
Namith Rangaswamy1, Venkatesan Sampath Kumar1, Roshan Banjara1
1Department of Orthopedics, All India Institute of Medical Sciences, New Delhi, India.
Introduction:
The WHO defines giant cell tumor as a benign locally aggressive neoplasm with metastasizing capacity and aggressive behavior. Very rarely, these tumors are seen fungating, mostly when neglected. But when they do, the treatment option commonly conferred is amputation of the limb which is disabling and traumatizing.
Case Report:
We report three cases of fungating limb masses (proximal tibia, distal fibula, and distal radius) diagnosed with giant cell tumor histologically, undergoing limb saving surgeries with various reconstruction techniques to endorse a good quality of life and functioning limb.
Conclusion:
Our study is one of the earliest to report medium-term follow-up after such limb salvage procedure. We recommend that salvage procedures should be considered in giant cell tumors even in the presence of fungation if there is no neurovascular encasement.
