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CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2018; 46(01): 040-045
DOI: 10.1055/s-0038-1639510
Case Report | Caso Clínico
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Tumor de células gigantes en cuarto metacarpiano: a propósito de un caso

Giant Cell Tumors on the Fourth Metacarpal: about a case
Alejandra Ortega Palacios
1   Médico Interno Residente de 5° año de Cirugía Ortopédica y Traumatología, Hospital Universitario Infanta Elena, Madrid, España
,
Juan Carlos Márquez Ambite
2   Jefe de Sección de Cirugía de Mano, Codo y Muñeca, Hospital Universitario Infanta Elena, Madrid, España
,
Tomasz Rumin Zbigniew
3   Médico Adjunto de Cirugía Ortopédica y Traumatología, Hospital Universitario Infanta Elena, Madrid, España
› Author Affiliations
Further Information

Publication History

12 February 2017

23 January 2018

Publication Date:
10 April 2018 (online)

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Resumen

Los tumores de células gigantes óseos en las manos son raros; presentamos un caso de un paciente con TCGO localizado en el cuarto metacarpiano tratado en dos tiempos quirúrgicos mediante resección en bloque de todo el hueso y reconstrucción con injerto de peroné vascularizado autólogo seguido de artroplastia metacarpofalángica. Tras un seguimiento postoperatorio de dos años y, a pesar de una recidiva cutánea y sinóstosis a nivel de la prótesis que puede precisar una nueva intervención, el paciente se encuentra libre de recidivas y satisfecho con los resultados obtenidos.

Abstract

Hands are a rare location for giant cell tumors of the bone. In this article we discuss the case of a patient with a GCTB located on the fourth metacarpal treated in two surgical times. First, with an in bloc resection of the bone and reconstruction with autologous vascularized fibular graft followed by metacarpophalangeal arthroplasty. After a two-years postoperative follow-up and, in spite of a cutaneous recurrence and synostosis at the level of the prosthesis that may require a new intervention, the patient is free of recurrence and satisfied with the results obtained.

Palabras Clave

Tumor de células gigantes óseo - Metacarpiano - Mano

Keywords

giant cell tumor of bone - metacarpal - hand
 

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