Case report East African Orthopaedic Journal GIANT CELL TUMOUR OF GREATER TROCHANTER APOPHYSIS: CASE REPORT Kinyanjui JW, MBChB, MMed (Orth), Orthopaedic Surgeon, St Mary Rift Valley Mission Hospital, P.O. Box 582-00902, Elementaita, Kenya. Email:
[email protected] ABSTRACT Most giant cell tumours of bone occur in the metaphysic of the long bone in the third decade of life. Surgical excision is associated with a high recurrence rate. This case report describes occurrence of a giant cell tumour of bone in the greater trochanter apophysis in a 15 year old male and outlines surgical management strategies employed to reduce the chance of recurrence based on a review of literature. Key words: Giant cell tumor of bone, Greater trochanter apophysis, Intralesion excision INTRODUCTION Figure 1Figure 1 Demarcated lytic lesion approximately 2 cm in Giant cell tumour of bone is a rare neoplasm of greatest Figure diameterDemarcated 1 on the lytic greater lesion trochanter approximately 2 cm in greatest bone that is commonly located in the metaphyses diameterapophysis on the greater trochanter apophysis of the long bones and presents in the third decade Demarcated lytic lesion approximately 2 cm in greatest of life. It is associated with a high recurrence diameter on the greater trochanter apophysis rate after surgical excision. A case of occurrence of a giant cell tumour in an unusual location is presented: the greater trochanter apophysis. This case occurred in a 15 year old male. He underwent surgical excision based on principles shown by available evidence to reduce the high recurrence rate. On 3 months follow up there has been no recurrence.