Evidence map›Paper›PMID 42713269›Full record

ArticleJournal of orthopaedic case reports2026

Unnoticed Giant Cell Tumor of the Left Distal Tibia in a 52-Year-Old Male: A Rare Case Report.

Saminathan Thiyagarajan, N Prabakaran, R Sivabalan, S Pavithra

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In one paragraph

Article in Journal of orthopaedic case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Saminathan ThiyagarajanDepartment of Orthopaedics, Madha Medical College, Chennai, Tamil Nadu, India.
N PrabakaranDepartment of Orthopaedics, Madha Medical College, Chennai, Tamil Nadu, India.
R SivabalanDepartment of Orthopaedics, Madha Medical College, Chennai, Tamil Nadu, India.
S PavithraDepartment of Orthopaedics, Madha Medical College, Chennai, Tamil Nadu, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Giant cell tumor (GCT) is a locally aggressive, benign primary bone tumor commonly affecting the epiphysis of long bones in young adults between 20 and 40 years. Occurrence in patients above 50 years is uncommon, and involvement of the distal tibia is relatively rare. Delayed or unnoticed presentation may lead to cortical breach and joint compromise. Case Report: We report a 52-year-old male who presented with progressive pain and swelling over the left ankle for 5 months, initially treated as an ankle sprain elsewhere. Radiographs revealed an eccentric, expansile lytic lesion involving the distal tibial epiphysis extending to the metaphysis with cortical thinning. Magnetic resonance imaging showed subarticular extension without significant soft-tissue mass. Biopsy confirmed GCT. The patient underwent extended curettage, high-speed burring, chemical cauterization, and cavity filling with bone cement and stabilisation with a locking compression plate. At 12-month follow-up, there was no evidence of recurrence, and the patient had a good functional outcome. Conclusion: Distal tibial GCT in older patients can be easily missed due to atypical age presentation and atypical symptoms. Early imaging and biopsy are very important for diagnosis. Extended curettage with cement-augmented prophylactic plating provides satisfactory functional and oncological outcomes.

Indexed as

bone cementbone tumorcurettagedistal tibiaGiant cell tumorlate presentation

Identifiers

PMID42713269
PMCPMC13552019

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