Metastatic giant cell tumour of bone: a narrative review of management options and approaches
- Author(s)
- Xu, R; Choong, PFM;
- Details
- Publication Year 2022-04,Volume 92,Issue #4,Page 691-696
- Journal Title
- ANZ Journal of Surgery
- Publication Type
- Review
- Abstract
- Giant cell tumour of bone (GCTB) is a locally aggressive bone neoplasm with a rare tendency to metastasise, most commonly to the lungs. The management of metastatic GCTB (metGCTB) is controversial due to its unpredictable behaviour. Asymptomatic patients should be monitored radiologically and undergo treatment only when disease progression occurs. Surgery is recommended for resectable metGCTB. Denosumab, a monoclonal antibody which inhibits receptor activator of nuclear factor-kappaB ligand, is recommended for unresectable metGCTB with evidence from phase II trials demonstrating its safety and efficacy. Relapse after denosumab withdrawal may occur and prolonged treatment may be associated with serious adverse events, thus further research is warranted to inform a maintenance regimen with reduced dosing and frequency. Combined denosumab and bisphosphonate therapy has the potential to achieve sustained disease control or remission in unresectable metGCTB without requiring long-term treatment and should be evaluated in prospective trials. Various novel agents have demonstrated in vitro and anecdotal efficacy and warrant further evaluation.
- Keywords
- *Bone Density Conservation Agents/therapeutic use; *Bone Neoplasms/drug therapy/pathology; Denosumab/therapeutic use; *Giant Cell Tumor of Bone/drug therapy/pathology; Humans; Neoplasm Recurrence, Local; Prospective Studies; bone neoplasms; denosumab; diphosphonates; giant cell tumour of bone
- Department(s)
- Surgical Oncology
- PubMed ID
- 35143093
- Publisher's Version
- https://doi.org/10.1111/ans.17520
- Open Access at Publisher's Site
https://doi.org/10.1111/ans.17520- Terms of Use/Rights Notice
- Refer to copyright notice on published article.
Creation Date: 2025-05-16 01:15:09
Last Modified: 2025-05-16 01:16:07