Giant Cell Tumors of Long Bones Prospective Study

This is a prospective study of giant cell tumors of long bones performed in Beni-Suef University Hospital and Insurance Hospital in the period from 2002-2007. Fifteen cases were included. There were10 females and 5 males the mean age of the patients was 32 years. The tumor was primary in 11 cases and recurrent in 4 cases. All the patients had been treated with intra-lesionalcurettage. In 7 patient s curettage and bone graft or bone cement was done. In 8 patients curettage was augmented with high speed burr and or phenol 80%. The overall recurrence rate was 32%. The group of patients treated with curettage alone had a local recurrence rate of 45%. While those treated with curettage and adjuvant treatment had a local recurrence rate of 8%. There was no difference between cases treated with bone cement or bone graft as regard local recurrence rate. Recurrent tumors treated with curettage had a local recurrence rate of 50%.