An Unusual Case of Giant Cell Tumor of First Metatarsal: A Rare Case Report and Review of Literature

Journal of Orthopaedic Case Reports
Kumar PrashantPrema Ram

Abstract

Giant cell tumor (GCT) or osteoclastoma is an osteolytic, mostly benign but locally aggressive tumor occurring in young adults at the epiphysis. Area of predilection is mainly long bones (85-90%). 4% of GCT are also found in iliac bone, spine and only 2% in hand (of which GCT phalanges are more common than metacarpal). GCT of metatarsal is a very rare occurrence with very few cases being reported so far. We report a case of GCT 1st metatarsal in a 40-year-old male which is a very rare entity. We shall discuss the clinical features, pathological and radiological hallmarks, and the various treatment modalities of such lesion. A 40-year-old male presented with complain of swelling over the dorsum of left foot for the duration of 2 years and pain in that foot for 4 months. Swelling was insidious in onset and has progressively increased in size. Pain was mild to moderate in intensity, dull aching and continuous. On examination, there was a localized ovoid shaped swelling 7 by 4 cm over the dorsum of the left foot opposing 1st and 2nd metatarsal area with well-defined margins, tender on deep palpation, hard in consistency and the overlying skin was free. Radiographs revealed an expansile osteolytic lesion of entire 1st metatarsal inv...Continue Reading

Methods Mentioned

BETA
X-ray
amputation

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