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symptoms of giant cell tumor of bone, early symptoms and signs of giant cell tumor of bone

symptoms of giant cell tumor of bone, early symptoms and signs of giant cell tumor of bone

Giant cell tumor of bone symptoms

Early symptoms: For patients with large lesions, the pain is sore or dull, and occasionally severe pain and nighttime pain are the main reasons that prompt patients to seek medical attention.

Late symptoms: When the lesion penetrates the cortical bone and invades the soft tissue, the local mass is obvious. Patients often have tenderness and increased skin temperature, which is one of the basis for judging postoperative recurrence.

Related symptoms: Joint swelling, joint pain, shoulder joint movement limitation, tibia pain, patella pain

Giant cell tumor of bone symptoms

The prevalence of giant cell tumor of bone has been described in the pathology. The patients are mostly young adults between 20 and 40 years old, accounting for more than 80% of the total. Male and female are equally slaughtered. More than 50% of cases have a history of injury before the onset. The tumor grows actively, and the average duration of the disease is about 10 months. The earliest complaint is pain, followed by swelling. The pain is not severe and does not hinder sleep. About 16% of the cases went to the hospital for diagnosis and treatment because of pathological fractures.

The clinical manifestations of giant cell tumor of bone are not specific. When the lesion destroys the bone cortex and stimulates the periosteum, or when the strength of the bone is about to cause a pathological fracture, it can produce clinical symptoms. Like most bone tumors, it is often found due to local swelling and pain.

The degree of clinical symptoms varies, and generally has nothing to do with the size of the tumor at the time of treatment. Some patients see a doctor because of pathological fractures, and have extensive bone destruction at the time of treatment.

(1) Pain:

It is more common in the early stage, generally not severe. The cause is due to tumor growth and increased intramedullary pressure. Occurs in the spine, the tumor can compress the nerve or spinal cord, resulting in corresponding nerve radiating pain or paraplegia. A small number of patients may seek medical attention for pathological fractures.

(2) Local swelling and lumps:

The symptoms appear later than the pain, and the swelling is generally mild, due to changes in the swelling of the bone shell and reactive edema. If the lesion penetrates the cortical bone and forms a mass in the soft tissue, the swelling is obvious. The swelling gradually increases slowly, sometimes rapidly, and is mostly caused by intratumoral hemorrhage.

(3) Joint dysfunction:

The local infiltration reaction of tumors at the ends of long bones can cause joint dysfunction. The tumor rarely penetrates the articular cartilage, but it can cause the collapse or weakness of the articular surface. Sometimes the tumor is larger and the area exceeds the joint, but the articular cartilage surface is still intact as seen on the X-ray film, which is also one of the characteristics of the tumor.

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