@article{MAKHILLRJMS202519131661, title = {Clinicoradiological Outcome of Extended Curettage of GCT of Bones as Per Recurrence and Metastasis}, journal = {Research Journal of Medical Sciences}, volume = {19}, number = {1}, pages = {656-662}, year = {2025}, issn = {1815-9346}, doi = {makrjms.2025.1.656.662}, url = {https://makhillpublications.co/view-article.php?issn=1815-9346&doi=makrjms.2025.1.656.662}, author = {Mukul,Abir,Bhaskar and}, keywords = {Curettage, GCT, recurrence and bones}, abstract = {
Giant cell tumour (GCT) of bone is generally a benign tumour composed of mononuclear stromal cells and characteristic multi nucleated giant cells that exhibit orthoclastic activity. It usually develops in long bones but can occur in unusual locations. The typical appearance is a lytic lesion with a well‐defined but no sclerotic margin that is eccentric in location, extends near the articular surface and occurs in patients with closed physics. My aim is to determine the efficacy of extended curettage in the treatment of GCT. The present study was Observational Study from a prospectively maintained database. This Study was conducted from December 2022 to JULY 2024 (20 months Duration) at orthopaedics‐OPD and Emergency with GCT, attending at SSKM and H. Total 30 patients were included in this study. In without Recurrence, the mean MSTS score (mean±s.d.) of patients was 22.6296±2.6624. In with Recurrence, the mean MSTS score (mean±s.d.) of patients was 18.3333±.5774. Distribution of mean MSTS score with Recurrence was statistically significant (p=0.0104).The value of Pearson Correlation Coefficient (r) was ‐.456. The Negative correlation was found between MSTS Score vs Lesion Size. The P‐Value was .011. The result was statistically significant. Extended curettage for GCT of bones is an effective treatment method with a low recurrence rate when performed with appropriate techniques. Adjuvants such as phenol, liquid nitrogen, or cementation may enhance local tumor control. Recurrence, when it occurs, is often detected early via regular clinical and radiological follow‐ups, allowing timely intervention. The incidence of metastasis, particularly to the lungs, remains low but underscores the need for long‐term surveillance. Multidisciplinary management and tailored treatment strategies further optimize patient outcomes.
} }