| Autor: |
Silva P; Universidade Federal de Goiás (UFG), Faculdade de Medicina, Hospital das Clínicas, Goiânia, GO, Brazil., Amaral RA; Universidade Federal de Goiás (UFG), Faculdade de Medicina, Hospital das Clínicas, Goiânia, GO, Brazil., Oliveira LA; Universidade Federal de Goiás (UFG), Faculdade de Medicina, Hospital das Clínicas, Goiânia, GO, Brazil., Moraes FB; Universidade Federal de Goiás (UFG), Faculdade de Medicina, Hospital das Clínicas, Goiânia, GO, Brazil., Chaibe ED; Universidade Federal de Goiás (UFG), Faculdade de Medicina, Hospital das Clínicas, Goiânia, GO, Brazil. |
| Abstrakt: |
The authors present the case of a patient with a giant cell tumor of the left femoral neck, with adjacent progressive invasion of bone tissue. Initial treatment was done with local curettage and autologous bone graft from fibula, electrocauterization and filling with methyl methacrylate. A local tumoral relapse was present after one year; therefore a new surgical procedure was necessary, with proximal femoral wide resection and unconventional endoprosthesis fixation. The article discusses the clinical aspects and surgical treatment. This report aimed to demonstrate the necessity to perform wide resection for giant cell tumor of the femoral neck, prioritizing total resection of the tumor and its local extension, preserving limb integrity and demonstrating the complete failure of preserving surgery in cases of femoral neck involvement. |
