A comparatively uncommon tumor of bone is GCTOB or Giant cell tumor of bone. In this a giant cell contains multiple nucleuses. GCT or the Giant cell tumor of bone have aggressiveness locally and occurs mostly around area of metaphyseal of the long bones that are mostly in contact with articular cartilage. These benign tumors are treated using curettage and then cementation. It benefits the patient by controlling the re-occurrence and thus preventing the risk.
Methods and Materials
The treatment of cementation and curettage were given to many patients suffering from tumors. Before going for the cementation and curettage, X- rays, MRI, CAT scan and other radiological evaluations were done. Tumors can vary in size, and at times affect the articular cartilage directly on varying extend. So additional to the cementation and curettage treatment, many internal procedures for fixation might be needed that may range even to 16 internal procedures or more. Follow up has to be done properly and the X- rays and other report should be collected to understand the current status.
The cementation and curettage technique is an usual practice during GCT treatment. It is reproducible and simple and has complication rate than the other options for treatment like cryotherapy. The recurrence rate is also lower because of the dual benefit – excellent functional and mechanical qualities. Even if recurrence happens, it can be diagnosed immediately with the presence of scalable thin border at the interface of bone and cement.
The cement cytotoxic and mechanical properties, its innocuity and also its ease of use make cementation and curettage one among the top ranking treatment options in GCT. By the development of adjuvant treatments that can be used additional to the cementation and curettage, the recurrence can be made even lower. Bisphosphonates and Calcitonin are examples of such additional treatments.