![]() | This article possibly contains
original research. (October 2012) |
Giant-cell tumor (GCT) of the pelvis is uncommon, accounting for only 1.5 to 6% of cases of GCT. [1] In pelvis ilium is the most common site of involvement; ischium and pubis are less frequently involved. [2] It typically presents in adults between age of 20 to 50 with localized swelling and pain. [3] Females are slightly more affected than males. [4]
Average size of the tumor in this region is 9.5 cm. [5]
There are different modalities of treatment of pelvic GCT. Radiotherapy has high rate of recurrence (44%) and risk of soft tissue sarcomas (12%). [6] Thus treatment should be essentially surgical which includes surgical excision. Excision can be extralesional which achieves 90% local tumor control but poor functional outcome [7] or it can be intralesional which has 90% local recurrence rate with good functional outcome. [8]
Massive GCT of pelvis, which is static, not amenable to excision and presenting with mechanical symptoms, can be managed by de-bulking the portion of tumor responsible for mechanical symptoms. And patients need to be followed for local invasion or metastasis. [9]
![]() | This article possibly contains
original research. (October 2012) |
Giant-cell tumor (GCT) of the pelvis is uncommon, accounting for only 1.5 to 6% of cases of GCT. [1] In pelvis ilium is the most common site of involvement; ischium and pubis are less frequently involved. [2] It typically presents in adults between age of 20 to 50 with localized swelling and pain. [3] Females are slightly more affected than males. [4]
Average size of the tumor in this region is 9.5 cm. [5]
There are different modalities of treatment of pelvic GCT. Radiotherapy has high rate of recurrence (44%) and risk of soft tissue sarcomas (12%). [6] Thus treatment should be essentially surgical which includes surgical excision. Excision can be extralesional which achieves 90% local tumor control but poor functional outcome [7] or it can be intralesional which has 90% local recurrence rate with good functional outcome. [8]
Massive GCT of pelvis, which is static, not amenable to excision and presenting with mechanical symptoms, can be managed by de-bulking the portion of tumor responsible for mechanical symptoms. And patients need to be followed for local invasion or metastasis. [9]