巨细胞瘤(GCT)是一种常见的良性侵袭性肿瘤,主要发生在胫骨近端,桡骨远端,和股骨远端,但很少在肱骨远端看到。它最初在30至50岁之间出现突然发生的疼痛。治疗通常是必要时刮宫辅助治疗,必要时重建。在我们的案例报告中,我们提出了临床和放射学发现,诊断,并对一名33岁的女性患者进行了治疗,该患者患有巨细胞瘤(GCT)并伴有左肱骨远端继发性动脉瘤性骨囊肿(ABC),患者经历了多年的疼痛而没有明显的创伤史。经临床检查,患者肘部内侧出现压痛,但未发现肿胀,发红,或热。她有一个无痛的全方位运动,完整的远端神经血管检查。影像学结论为GCT继发ABC。活检证实了诊断,排除转移病灶.患者接受了手术干预,用钢板固定,产生了极好的结果。
Giant cell tumor (GCT) is a common benign aggressive tumor that mostly occurs in the proximal tibia, distal radius, and distal femur but is rarely seen in the distal region of the humerus. It originally presents between the ages of 30 and 50 with suddenly occurring pain. Treatment is generally curettage adjuvant treatment if necessary and reconstruction if required. In our case report, we present the clinical and radiological findings, diagnosis, and management of a 33-year-old female patient with a giant cell tumor (GCT) accompanied by a secondary aneurysmal bone cyst (ABC) in the left distal humerus, where the patient experienced pain for many years without significant history of trauma. Upon clinical examination, the patient displayed tenderness over the medial side of the elbow but no noted swelling, redness, or hotness. She had a painless full range of motion, with an intact distal neurovascular examination. Imaging concluded GCT with secondary ABC. A biopsy confirmed the diagnosis, ruling out metastatic lesions. The patient underwent surgical intervention, with plate fixation, which yielded excellent outcomes.