Calcitonin use in giant cell bone tumors

Summary Introduction As osteoclast, giant cell tumors express calcitonin receptors. The aim of this paper is to assess treatment using salmon calcitonin after curettage. Material and methods We retrospectively reviewed 25 patients with giant cell tumor of the appendicular skeleton treated with a sin...

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Veröffentlicht in:Orthopaedics & traumatology, surgery & research surgery & research, 2011-09, Vol.97 (5), p.520-526
Hauptverfasser: Nouri, H, Hedi Meherzi, M, Ouertatani, M, Mestiri, M, Zehi, K, Douik, M, Zouari, M
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container_end_page 526
container_issue 5
container_start_page 520
container_title Orthopaedics & traumatology, surgery & research
container_volume 97
creator Nouri, H
Hedi Meherzi, M
Ouertatani, M
Mestiri, M
Zehi, K
Douik, M
Zouari, M
description Summary Introduction As osteoclast, giant cell tumors express calcitonin receptors. The aim of this paper is to assess treatment using salmon calcitonin after curettage. Material and methods We retrospectively reviewed 25 patients with giant cell tumor of the appendicular skeleton treated with a single protocol of calcitonin administration following curettage in order to assess the effectiveness of calcitonin in reducing the rate of local recurrence. Results The mean duration follow-up was 68 months. Thirteen patients (52%) had local recurrence. Eight of them were treated successfully after repeated curettage and calcitonin. Four patients had bone resection and one patient had curettage and cement filling. All patients with cavity left empty had ossified and the functional score as assessed by the MSTS score was 28.02/30. Conclusion This study suggests that the use of calcitonin as adjuvant is not effective and that filling agents are not required after curettage of giant cell tumors. Level of evidence Level 4.
doi_str_mv 10.1016/j.otsr.2011.03.019
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The aim of this paper is to assess treatment using salmon calcitonin after curettage. Material and methods We retrospectively reviewed 25 patients with giant cell tumor of the appendicular skeleton treated with a single protocol of calcitonin administration following curettage in order to assess the effectiveness of calcitonin in reducing the rate of local recurrence. Results The mean duration follow-up was 68 months. Thirteen patients (52%) had local recurrence. Eight of them were treated successfully after repeated curettage and calcitonin. Four patients had bone resection and one patient had curettage and cement filling. All patients with cavity left empty had ossified and the functional score as assessed by the MSTS score was 28.02/30. Conclusion This study suggests that the use of calcitonin as adjuvant is not effective and that filling agents are not required after curettage of giant cell tumors. 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The aim of this paper is to assess treatment using salmon calcitonin after curettage. Material and methods We retrospectively reviewed 25 patients with giant cell tumor of the appendicular skeleton treated with a single protocol of calcitonin administration following curettage in order to assess the effectiveness of calcitonin in reducing the rate of local recurrence. Results The mean duration follow-up was 68 months. Thirteen patients (52%) had local recurrence. Eight of them were treated successfully after repeated curettage and calcitonin. Four patients had bone resection and one patient had curettage and cement filling. All patients with cavity left empty had ossified and the functional score as assessed by the MSTS score was 28.02/30. Conclusion This study suggests that the use of calcitonin as adjuvant is not effective and that filling agents are not required after curettage of giant cell tumors. 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The aim of this paper is to assess treatment using salmon calcitonin after curettage. Material and methods We retrospectively reviewed 25 patients with giant cell tumor of the appendicular skeleton treated with a single protocol of calcitonin administration following curettage in order to assess the effectiveness of calcitonin in reducing the rate of local recurrence. Results The mean duration follow-up was 68 months. Thirteen patients (52%) had local recurrence. Eight of them were treated successfully after repeated curettage and calcitonin. Four patients had bone resection and one patient had curettage and cement filling. All patients with cavity left empty had ossified and the functional score as assessed by the MSTS score was 28.02/30. Conclusion This study suggests that the use of calcitonin as adjuvant is not effective and that filling agents are not required after curettage of giant cell tumors. 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subjects Adolescent
Adult
Aged
Bone
Bone Density Conservation Agents - therapeutic use
Bone Neoplasms - prevention & control
Bone Neoplasms - surgery
Calcitonin
Calcitonin - therapeutic use
Chemotherapy, Adjuvant
Curettage
Female
Giant cell tumor
Giant Cell Tumor of Bone - prevention & control
Giant Cell Tumor of Bone - surgery
Humans
Male
Middle Aged
Neoplasm Recurrence, Local - prevention & control
Orthopedics
Retrospective Studies
Surgery
Young Adult
title Calcitonin use in giant cell bone tumors
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