Table I.
Case | Sex | Age | Location | Symptom | Stage | H-Ea | p63 | Initial treatmentb | Length of follow-up (yrs) | Recurrence | Metastasis |
---|---|---|---|---|---|---|---|---|---|---|---|
1 | F | 9 | Metacarpal | Swelling with pain | 2 | B | Weak | Curettage/bone graft (O) | 5 | No | No |
2 | M | 18 | Metacarpal | Pain | 3 | – | – | En bloc resection (N) | 2 | Yes | No |
3 | F | 15 | Metacarpal | Pain | 1 | A | Moderate | Curettage/bone cementing | 1 1/6 | No | No |
4 | M | 30 | Metacarpal | Pain | 3 | C | Weak | En bloc resection | 2 | No | No |
5 | M | 16 | Metacarpal | Pain | 2 | C | Weak | En bloc resection | 1 1/4 | No | No |
6 | F | 31 | Proximal phalanx (hand) | Swelling | 3 | – | – | Amputation (N) | 13 | No | Yes (lung) |
7 | F | 20 | Middle phalanx (hand) | Pain | 2 | A | Strong | Curettage/bone graft | 4 1/6 | Yes (twice) | No |
8 | M | 21 | Talus | Pain | 2 | B | Weak | Curettage/bone graft (E + P) | 4 | No | No |
9 | M | 19 | Cuboid | Pain | 1 | A | Moderate | Curettage/bone graft (O) | 8 | No | No |
10 | F | 60 | Metatarsal | Pain | 2 | A | Moderate | Curettage/bone graft | 4 1/3 | No | No |
11 | M | 33 | Proximal phalanx (foot) | Swelling | 2 | A | Moderate | En bloc resection | 1 1/2 | No | No |
aCharacteristics of patients with small-bone GCT as seen by H-E staining: A = The specimen is mostly occupied by compactly gathered mononuclear cells and multinucleated giant cells (typical feature of GCT). B = Secondary ABC change is predominant. C = Detection of the typical feature of GCT is difficult because of the small specimen.
bAdjuvant therapy: E + P = ethanol + phenol; N = liquid nitrogen; O = others.