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Journal of Hand Surgery (British and European Volume)
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Articles

Giant Cell Tumour of Metacarpal with Pulmonary and Skeletal Metastases

B. K. S. SANJAY
D. A. YOUNGE

From the Department of Orthopaedic Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia

Correspondence: Dr Bhupendra K. S. Sanjay, Department of Orthopaedic Surgery, MBC 77, King Faisal Specialist Hospital and Research Centre, P,O. Box 3354, Riyadh 11211, Saudi Arabia.

A case of giant cell tumour of the left fifth metacarpal with pulmonary and skeletal metastases is reported with follow-up of 14 years. The pulmonary metastases were treated by chemotherapy, but the size of the metastatic nodules continued to increase, and no further treatment was given. The pulmonary metastatic nodules started to regress 8 years after the diagnosis without any treatment, and had disappeared after 14 years. The skeletal metastases were unchanged at the latest follow-up. Both pulmonary and skeletal metastases have been asymptomatic for the 14 years after they were diagnosed.

It is suggested that pulmonary metastases of benign giant cell tumour has a good long-term prognosis and these patients should be kept under observation only, avoiding extensive lobectomy, chemotherapy or radiotherapy.

Journal of Hand Surgery (British and European Volume), Vol. 21, No. 1, 126-132 (1996)
DOI: 10.1016/S0266-7681(96)80028-3
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