Recurrent giant cell tumor of the phalanx
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Giant cell tumor (GCT) of phalanx of a finger in the hand is extremely rare. GCT found in the hand comprises only 2% of all GCTs reported. The metaphyseal region of short long bones of the hand has been found to be the common site of GCTs. Due to the high recurrence rate coupled with local aggressiveness after simple curettage extensive en bloc excision and reconstruction becomes the ideal modality but may not remain cost effective. Recurrence of GCT of hand is higher than for other locations. Local recurrence following curettage and bone grafting has been reported to be as high as 90%. Wide resection and reconstruction with structural bone grafting is also reported to have a high local recurrence rate.Multiple procedures such as excision (local or wide), excision with reconstruction, ray amputation, and amputation have been used to eradicate the disease completely. We are reporting a case of recurrence of GCT in the middle phalanx of hand treated with total middle phalangectomy followed by reconstruction by iliac crest bone grafting and fusion.

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