31-184
Granuloma reparativo de células gigantes en el escafoides tarsiano
Giant-cell reparative granuloma of the foot navicular bone
F. ARGÜELLES, E. FERNÁNDEZ, R. FERNÁNDEZ y J. MUÑOZ Servicio de Traumatología y Ortopedia. Hospital Clínico Universitario. Valencia.
Recepción:
07/11/2008
Aceptación:
07/11/2008
Publicación:
07/11/2008
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Resumen (ES)
A 22-year-old women with pain in her left midle foot since one year before the first
visit to the hospital, without any previous trauma is presented. At physical examination there was
a tender point and tumor at the medial aspect of the foot, over the navicular bone. Complete range
of motion was present. Plain X-rays showed a radiolucent lesion in the navicular. Computed tomography
showed cortical bone disruption and no soft tissue involvement. The tecnetium-99 bone
scan disclosed a high concentration of radioisotope at the lesion. Surgical treatment included
curetagge and bone grafting. Microscopic assesment of the resected tissue was compatible with
giant cell reparative granuloma. The differential diagnosis is discussed.
visit to the hospital, without any previous trauma is presented. At physical examination there was
a tender point and tumor at the medial aspect of the foot, over the navicular bone. Complete range
of motion was present. Plain X-rays showed a radiolucent lesion in the navicular. Computed tomography
showed cortical bone disruption and no soft tissue involvement. The tecnetium-99 bone
scan disclosed a high concentration of radioisotope at the lesion. Surgical treatment included
curetagge and bone grafting. Microscopic assesment of the resected tissue was compatible with
giant cell reparative granuloma. The differential diagnosis is discussed.
Palabras clave (ES):
Tumor
Pie
Seudotumor
Tumorafin
Tarso
Granulado
Célula
GiganteEscafiodes
Tarsiano
Resumen (EN)
A 22-year-old women with pain in her left midle foot since one year before the first
visit to the hospital, without any previous trauma is presented. At physical examination there was
a tender point and tumor at the medial aspect of the foot, over the navicular bone. Complete range
of motion was present. Plain X-rays showed a radiolucent lesion in the navicular. Computed tomography
showed cortical bone disruption and no soft tissue involvement. The tecnetium-99 bone
scan disclosed a high concentration of radioisotope at the lesion. Surgical treatment included
curetagge and bone grafting. Microscopic assesment of the resected tissue was compatible with
giant cell reparative granuloma. The differential diagnosis is discussed.
visit to the hospital, without any previous trauma is presented. At physical examination there was
a tender point and tumor at the medial aspect of the foot, over the navicular bone. Complete range
of motion was present. Plain X-rays showed a radiolucent lesion in the navicular. Computed tomography
showed cortical bone disruption and no soft tissue involvement. The tecnetium-99 bone
scan disclosed a high concentration of radioisotope at the lesion. Surgical treatment included
curetagge and bone grafting. Microscopic assesment of the resected tissue was compatible with
giant cell reparative granuloma. The differential diagnosis is discussed.
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