Reconstruction of metatarsal bone after giant cell tumor resection with no vascularized fibular graft in a pediatric patient: Case report and review of literature
The Giant Cell tumor (GCT) is a benign, locally aggressive lesion that cause bone destruction and shows a malignant potential. It is a relatively common skeletal tumor that is therefore typically seen in young adults. Few cases are described in literature of GCT in the immature skeleton, and the met...
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| Published in | Frontiers in pediatrics Vol. 10 |
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| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
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Frontiers Media S.A
12.10.2022
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| Abstract | The Giant Cell tumor (GCT) is a benign, locally aggressive lesion that cause bone destruction and shows a malignant potential. It is a relatively common skeletal tumor that is therefore typically seen in young adults. Few cases are described in literature of GCT in the immature skeleton, and the metatarsal is an unusual location for a primary bone GCT, especially in pediatric age. Therefore, there are very few data reported regarding the management protocol of GCT in metatarsal bones. We report a case about the use of no vascularized fibular graft for an original Y-shaped reconstruction of the metatarsal bone after Giant Cell Tumor resection in a 9 years-old patient, and performed a literature review about metatarsal bone reconstruction in skeletally immature patient. |
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| AbstractList | The Giant Cell tumor (GCT) is a benign, locally aggressive lesion that cause bone destruction and shows a malignant potential. It is a relatively common skeletal tumor that is therefore typically seen in young adults. Few cases are described in literature of GCT in the immature skeleton, and the metatarsal is an unusual location for a primary bone GCT, especially in pediatric age. Therefore, there are very few data reported regarding the management protocol of GCT in metatarsal bones. We report a case about the use of no vascularized fibular graft for an original Y-shaped reconstruction of the metatarsal bone after Giant Cell Tumor resection in a 9 years-old patient, and performed a literature review about metatarsal bone reconstruction in skeletally immature patient. |
| Author | Careri, S. Aulisa, A. G. Toniolo, R. M. Giordano, M. Zoccali, C. Falciglia, F. Florio, M. |
| AuthorAffiliation | 1 Department of Surgery and Transplant, Division of Traumatology , Bambino Gesu’ Children Hospital (IRCCS) , Rome , Italy 3 University of Cassino and Southern Lazio , Cassino , Italy 2 Department of Human Anatomy, Histology, Forensic Medicine, Orthopedics , Sapienza University , Rome , Italy |
| AuthorAffiliation_xml | – name: 3 University of Cassino and Southern Lazio , Cassino , Italy – name: 2 Department of Human Anatomy, Histology, Forensic Medicine, Orthopedics , Sapienza University , Rome , Italy – name: 1 Department of Surgery and Transplant, Division of Traumatology , Bambino Gesu’ Children Hospital (IRCCS) , Rome , Italy |
| Author_xml | – sequence: 1 givenname: M. surname: Florio fullname: Florio, M. – sequence: 2 givenname: S. surname: Careri fullname: Careri, S. – sequence: 3 givenname: C. surname: Zoccali fullname: Zoccali, C. – sequence: 4 givenname: A. G. surname: Aulisa fullname: Aulisa, A. G. – sequence: 5 givenname: F. surname: Falciglia fullname: Falciglia, F. – sequence: 6 givenname: R. M. surname: Toniolo fullname: Toniolo, R. M. – sequence: 7 givenname: M. surname: Giordano fullname: Giordano, M. |
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| Cites_doi | 10.3113/FAI.2008.0097 10.1007/BF00206148 10.1302/0301-620X.80B1.0800043 10.1007/s002640050057 10.1097/00003086-198603000-00003 10.2106/00004623-198365040-00009 10.5704/MOJ.1311.001 10.1016/0165-4608(92)90125-R 10.1002/(SICI)1097-0142(20000501)88:9%3C2022::AID-CNCR6%3E3.0.CO;2-Y 10.1302/0301-620X.76B6.7983128 10.1016/j.ocl.2005.08.005 10.1148/radiol.2451031776 10.1634/theoncologist.2014-0267 10.1007/BF00209107 10.26355/eurrev_201904_17495 10.2106/00004623-198769010-00018 10.5005/jp-journals-10080-1462 10.1016/S0033-8389(22)02859-7 |
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| Copyright | 2022 Florio, Careri, Zoccali, Aulisa, Falciglia, Toniolo and Giordano. 2022 Florio, Careri, Zoccali, Aulisa, Falciglia, Toniolo and Giordano |
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| Notes | Specialty Section: This article was submitted to Pediatric Orthopedics, a section of the journal Frontiers in Pediatrics Edited by: Marco Rainer Kesting, University Hospital Erlangen, Germany Reviewed by: Sherif Kheir, Ain Shams University, Egypt Francesco Liuzza, Agostino Gemelli University Polyclinic (IRCCS), Italy |
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| References | Campanacci (B15) 1987; 69 Rengsen (B19) 2013; 7 Lausten (B16) 1996; 20 Guzzanti (B20) 1994; 76 Enneking (B17) 1986; 204 Siebenrock (B1) 1998; 80 Mirra (B3) 1989 Hoeffel (B4) 1996; 63 Picci (B9) 1983; 65 Bridge (B5) 1992; 58 Schutte (B10) 1993; 22 Biscaglia (B14) 2000; 88 Manaster (B2) 1993; 31 Turcotte (B6) 2006; 37 Wang (B13) 2008; 29 Sheridan (B18) 2020; 15 Ly (B11) 2007; 245 Careri (B21) 2019; 23 Aaron (B12) 1993; 22 Cavanna (B7) 2014; 19 Huvos (B8) 1922 |
| References_xml | – volume: 29 start-page: 97 year: 2008 ident: B13 article-title: Allograft reconstruction of a large giant cell tumor of the first metatarsal: a case report publication-title: Foot Ankle Int doi: 10.3113/FAI.2008.0097 contributor: fullname: Wang – volume: 22 start-page: 173 year: 1993 ident: B10 article-title: Giant cell tumor in children and adolescents publication-title: Skeletal Radiol doi: 10.1007/BF00206148 contributor: fullname: Schutte – volume: 80 start-page: 43 year: 1998 ident: B1 article-title: Giant-cell tumour of bone metastasising to the lungs. A long-term follow-up publication-title: J Bone Joint Surg Br doi: 10.1302/0301-620X.80B1.0800043 contributor: fullname: Siebenrock – volume: 20 start-page: 172 year: 1996 ident: B16 article-title: Local recurrences in giant cell tumour of bone. Long-term follow up of 31 cases publication-title: Int Orthop doi: 10.1007/s002640050057 contributor: fullname: Lausten – volume: 204 start-page: 9 year: 1986 ident: B17 article-title: A system of staging musculoskeletal neoplasm publication-title: Clin Orthop Relat Res doi: 10.1097/00003086-198603000-00003 contributor: fullname: Enneking – volume: 65 start-page: 486 year: 1983 ident: B9 article-title: Giant-cell tumor of bone in skeletally immature patients publication-title: J Bone Joint Surg Am doi: 10.2106/00004623-198365040-00009 contributor: fullname: Picci – volume: 7 start-page: 15 year: 2013 ident: B19 article-title: Reconstruction of the second metatarsal with non-vascularized fibular graft following en-bloc resection for giant celll tumour: a case report publication-title: Malays Orthop J doi: 10.5704/MOJ.1311.001 contributor: fullname: Rengsen – volume: 58 start-page: 2 year: 1992 ident: B5 article-title: Giant cell tumor of bone. Chromosomal analysis of 48 specimens and review of the literature publication-title: Cancer Genet Cytogenet doi: 10.1016/0165-4608(92)90125-R contributor: fullname: Bridge – volume: 88 start-page: 2022 year: 2000 ident: B14 article-title: Giant cell tumor of the bones of the hand and foot publication-title: Cancer doi: 10.1002/(SICI)1097-0142(20000501)88:9%3C2022::AID-CNCR6%3E3.0.CO;2-Y contributor: fullname: Biscaglia – volume: 76 start-page: 960 year: 1994 ident: B20 article-title: The effect of intra-articular ACL reconstruction on the growth plates of rabbits publication-title: J Bone Joint Surg Br doi: 10.1302/0301-620X.76B6.7983128 contributor: fullname: Guzzanti – volume: 37 start-page: 35 year: 2006 ident: B6 article-title: Giant cell tumor of bone publication-title: Orthop Clin North Am doi: 10.1016/j.ocl.2005.08.005 contributor: fullname: Turcotte – volume-title: Bone tumors: Clinical, radiologic and pathologic correlations year: 1989 ident: B3 contributor: fullname: Mirra – volume: 245 start-page: 288 year: 2007 ident: B11 article-title: Case 122: giant cell tumor of the second metatarsal publication-title: Radiology doi: 10.1148/radiol.2451031776 contributor: fullname: Ly – volume: 19 start-page: 1207 year: 2014 ident: B7 article-title: Giant cell tumor of bone publication-title: Oncologist doi: 10.1634/theoncologist.2014-0267 contributor: fullname: Cavanna – start-page: 1106 volume-title: Bone tumors: Diagnosis, treatment,and prognosisLancet year: 1922 ident: B8 article-title: The histogenesis of myeloid sarcoma contributor: fullname: Huvos – volume: 22 start-page: 543 year: 1993 ident: B12 article-title: Case report 810: giant cell tumor of the first metatarsal publication-title: Skeletal Radiol doi: 10.1007/BF00209107 contributor: fullname: Aaron – volume: 23 start-page: 210 year: 2019 ident: B21 article-title: Masquelet technique and osteomyelitis: innovations and literature review publication-title: Eur Rev Med Pharmacol Sci doi: 10.26355/eurrev_201904_17495 contributor: fullname: Careri – volume: 69 start-page: 106 year: 1987 ident: B15 article-title: Giant cell tumor of bone publication-title: J Bone Joint Surg Am doi: 10.2106/00004623-198769010-00018 contributor: fullname: Campanacci – volume: 63 start-page: 618 year: 1996 ident: B4 article-title: Giant cell tumor of bone in children and adolescents publication-title: Rev Rhum Engl Ed contributor: fullname: Hoeffel – volume: 15 start-page: 84 year: 2020 ident: B18 article-title: Non-vascularised fibular autograft for reconstruction of paediatric bone defects: an analysis of 10 cases publication-title: Strateg Trauma Limb Reconstr doi: 10.5005/jp-journals-10080-1462 contributor: fullname: Sheridan – volume: 31 start-page: 299 year: 1993 ident: B2 article-title: Giant cell tumors of bone publication-title: Radiol Clin North Am doi: 10.1016/S0033-8389(22)02859-7 contributor: fullname: Manaster |
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| SubjectTerms | en-bloc resection foot tumors metacarpal replacement non-vascularized fibular graft pediatric giant cell tumor Pediatrics |
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| Title | Reconstruction of metatarsal bone after giant cell tumor resection with no vascularized fibular graft in a pediatric patient: Case report and review of literature |
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