Giant cell tumor of second and third metatarsals and a simplified surgical technique: report of two cases

The Giant Cell Tumor of 1st Metatarsal in a Young Adult: A Rare Versatile Management with Fibula Cortical Graft

Introduction

Giant cell tumor is a benign aggressive tumor commonly affecting the 2nd decade. Most commonly seen in the ends of long bones like the distal femur, proximal tibia, distal radius, and proximal humerus, but it does occur in small bones like hands and feet in <2%.

Case Report

A young female adult of age 23 has been diagnosed with a giant cell tumor of her 1st metatarsal and underwent complete excision with reconstruction with non-vascularized autogenous cortical fibula strut graft using a reconstruction plate and screws and 1-year follow-up showed a good graft union and no signs of recurrence.

Conclusion

Local resection of the affected metatarsal combined with chemoablation reduces recurrence risk, while a fibula graft offers structural stability. In our case, there were no signs of recurrence, and the graft showed good incorporation.

Wide Resection and Iliac Crest Arthrodesis for Multiply Recurrent Giant Cell Tumor of First Metatarsal

Case

Giant cell tumor of bone is a benign, aggressive neoplasm commonly arising in the femur, tibia, and distal radius and less commonly in the hands and feet. We describe a 22-year-old woman who underwent wide resection of multiply recurrent first metatarsal giant cell tumor and reconstruction with iliac crest arthrodesis.

Conclusion

To our knowledge, there have been no previous reports of managing multiply recurrent giant cell tumor of the first metatarsal. The patient was without pain and exercising without difficulty 18 months following surgery. This method appears useful for reconstructing the foot following multiply recurrent giant cell tumor of the metatarsal.