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Title of Journal: Arch Orthop Trauma Surg

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Abbravation: Archives of Orthopaedic and Trauma Surgery

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Springer-Verlag

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DOI

10.1007/bf02763046

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1434-3916

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Diagnostic and therapeutic problems of giant cell

Authors: Kenshi Sakayama Yoshifumi Sugawara Teruki Kidani Joji Miyawaki Taketsugu Fujibuchi Setsuya Kamei Junichi Aizawa Haruyasu Yamamoto
Publish Date: 2007/08/23
Volume: 127, Issue: 10, Pages: 867-872
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Abstract

Primaly giant cell tumor of bone GCT in the proximal femur is relatively rare and can prove difficult to diagnose and can require therapeutic methods Subjects comprised 10 patients 8 males 2 females Mean patient age was 275 years and mean followup was 899 months Tumors in the present study were limited to H1 and H2 according to the International Society of Limb Salvage ISOLS system All patients received surgical treatment only Second surgery after preoperative open biopsy was performed for two patients while the remaining eight patients received excisional biopsy to determine treatment methods using rapid intraoperative pathological examination of frozen sections The mean functional score was 282 out of 30 939 Local recurrence was observed in two patients The longterm followup reveals that one of the important problem is preoperative diagnosis Excisional biopsy is effective for surgery of GCT in the proximal femur

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