Recurrence of GCTB of Wrist in an Autografted Non-vascularized Fibula: A Case Report.

INTRODUCTION

Distal radius is known to have high percentage of recurrences in giant cell tumor (GCT) despite best efforts. We would like to present a case where the recurrence unusually occurred in the graft and the complications associated with it.

CASE REPORT: A 45-year-old woman, who had previously undergone curettage of GCT distal radius, presented with recurrence of lesion which was managed initially with resection and non-vascularized fibular autograft reconstruction. Tumor again recurred in the autografted fibula which was managed by curettage and cementing. Due to progressive collapse of the carpus, resection of the autograft and wrist arthrodesis was carried out.

CONCLUSION

Recurrence of GCT is a challenging problem. Wide resections may not always avoid recurrences. Patients should be made aware of the extend of recurrence that can happen in spite of the best efforts.