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Giant cell tumour of the patella with local recurrence: successful management with excision, curettage and artificial bone grafting

Lookup NU author(s): Zak Gamie, Dr Kenneth RankinORCiD

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Abstract

© BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. Primary patellar neoplasms are rare, comprising 0.12% of primary bone tumours; thus, no standardised treatment related to staging exists. 70%-90% of primary patellar neoplasms are benign or intermediate with giant cell tumour (GCT) being the most common. GCTs are locally aggressive, have a high recurrence rate and metastasise in 1%-2%. We report the case of a 23-year-old man with histologically confirmed recurrent GCT of the patella to demonstrate that aggressive surgical management options described in the literature, such as patellectomy with or without complex reconstruction, may be excessive and cause patients undue morbidity. Initially, the patient underwent intralesional curettage with excellent recovery, but presented again with a local recurrence within a year. A further definitive operation was performed which included excision of the inferior pole followed by curettage of the patellar body and artificial bone grafting. The patient made a good recovery and at 5-year follow-up has maintained good function.

Publication metadata

Author(s): Morris TM, Gamie Z, Ghosh KM, Rankin KS

Publication type: Article

Publication status: Published

Journal: BMJ Case Reports

Year: 2018

Volume: 2018

Online publication date: 14/02/2018

Acceptance date: 31/01/2018

ISSN (electronic): 1757-790X

Publisher: BMJ Publishing Group

URL: https://doi.org/10.1136/bcr-2017-221275

DOI: 10.1136/bcr-2017-221275

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