Giant Cell Tumour of the Femoral Neck: A Rare Site Managed by Curettage and Bone Grafting Only

A giant cell tumor (GCT) is an osteolytic tumor occurring in young adults at the epiphysis or end of the long bone. This occurs after the epiphyseal plate has ossified and longitudinal bone growth is completed. Giant cell tumor is one of the most obscure and intensively examined tumours of bone. Its histogenesis is uncertain, the histology does not predict the clinical outcome and there are still many unanswered questions with regard to both its treatment and prognosis. Giant cell tumor of femoral head or neck is rarely seen in very few patients with accidental diagnosis. The disease affects activities of daily living (e.g. walking stair climbing and housekeeping) ultimately leading to a loss of functional independence. We present here an uncommon site for occurrence of the GCT in the femoral neck, and its subsequent management by joint preservation surgery employing simple curettage of the lesion and bone grafting with no relapse after two years of follow up.