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Analysis Study Research Paper | Medical Surgical | India | Volume 12 Issue 5, May 2023

A Rare Case of Giant Cell Tumour (Osteoclastoma) of 2nd Metatarsal - Case Report

Ch Rakesh Singha | Shamim Ahmed Barbhuiya | Nagesh C S | Dhanush T Narayana

Abstract: Introduction: Giant cell tumour (GCT) is a benign osteolytic, locally aggressive lesion. Seen in young adults at the epiphysis. The most common site is long bones (85 - 90%). GCT of the metatarsal in elderly patients is very rare. Case Report: A 21 - year - old female came with complaints of pain and swelling over right foot dorsal aspect since for the last past 8 months. There was no history of trauma. X - ray foot showed an osteolytic lesion in the right third metatarsal with thinning of the cortex. MRI and fine - needle aspiration cytology confirmed the diagnosis of GCT. The patient was managed by excision with the 2nd ray amputation. At present, 1 years follow - up, the patient is having no pain, difficulty in walking and no evidence of clinical and radiological recurrence. Conclusion: Giant cell tumours could also present at uncommon sites, and they should be considered in the differential diagnosis of lytic lesions of the metatarsals. Excision with ray amputation of the involved metatarsal helps in complete removal of the lesion and helps in early weight bearing. This is the viable alternative treatment option in managing the metatarsal GCT in elderly patients.

Keywords: Giant cell tumour, second metatarsal, ray amputation

Edition: Volume 12 Issue 5, May 2023,

Pages: 617 - 620