# What’s new on giant cell tumor of bone

**Authors:** Shinji Tsukamoto, Costantino Errani, Tessa Balach, Tomas Zamora, Eduardo Ortiz-Cruz, Raja Bhaskara Rajasekaran, Raymond Yau, Tao Ji, Israel Pérez-Muñoz, Francisco Linares, Andrea Angelini, Pietro Ruggieri, Joseph Benevenia, Andreas F. Mavrogenis

PMC · DOI: 10.1051/sicotj/2025063 · SICOT-J · 2026-01-22

## TL;DR

This paper reviews new treatments and techniques for giant cell tumor of bone, focusing on reducing recurrence and improving outcomes.

## Contribution

The paper highlights novel approaches like radiofrequency ablation and new filling materials to manage giant cell tumor of bone.

## Key findings

- Radiofrequency ablation alone shows favorable results for small, locally recurrent giant cell tumors of bone.
- New filling materials are being developed to prevent non-oncological complications like arthrosis and fractures.
- Serum tartrate-resistant acid phosphatase 5b measurement may help detect early local recurrence.

## Abstract

When treating extremities affected by giant cell tumor of bone (GCTB), curettage should be performed to preserve the joint as much as possible in order to obtain a good functional outcome. The local recurrence risk is high following curettage, but new techniques are being developed to reduce local recurrence. We present a review of the literature reporting favorable results of radiofrequency ablation alone in locally recurrent small GCTB. New filling materials are also being developed to prevent non-oncological complications such as arthrosis and fractures. Routine measurement of tartrate-resistant acid phosphatase 5b in serum may be helpful in detecting early instances of local recurrence. For unresectable or metastatic GCTB, there is an urgent need for a new drug that is as effective as denosumab, avoids side effects, and can be administered to pregnant women.

## Linked entities

- **Diseases:** giant cell tumor of bone (MONDO:0005674)

## Full-text entities

- **Genes:** ACP5 (acid phosphatase 5, tartrate resistant) [NCBI Gene 54] {aka HPAP, TRACP5a, TRACP5b, TRAP, TRAcP, TrATPase}, ALPP (alkaline phosphatase, placental) [NCBI Gene 250] {aka ALP, PALP, PLAP, PLAP-1}
- **Diseases:** fracture (MESH:D050723), GCT (MESH:C537296), femur fracture (MESH:D000092524), necrosis (MESH:D009336), pain (MESH:D010146), arthropathy (MESH:D007592), Bone (MESH:D001847), hypophosphatemia (MESH:D017674), bone metastases (MESH:D009362), humerus (MESH:D006810), GCTB (MESH:D018212), bone tumor (MESH:D001859), osteonecrosis of the jaw (MESH:D059266), cartilage damage (MESH:D002357), synovitis (MESH:D013585), cytotoxic (MESH:D064420), coagulation necrosis (MESH:D001778), cancer (MESH:D009369), hypercalcemia (MESH:D006934), Musculoskeletal Tumor (MESH:D009140), anemia (MESH:D000740), arthrosis (MESH:D010003), osteosarcoma (MESH:D012516), hypocalcemia (MESH:D006996)
- **Chemicals:** CHG (MESH:C010882), hydrogen peroxide (MESH:D006861), water (MESH:D014867), saline (MESH:D012965), phenol (MESH:D019800), zoledronic acid (MESH:D000077211), argon (MESH:D001128), ethanol (MESH:D000431), JMT103 (-), hydroxyapatite (MESH:D017886), beta-TCP (MESH:C485817), Denosumab (MESH:D000069448), calcium phosphate (MESH:C020243), povidone-iodine (MESH:D011206), nitrogen (MESH:D009584)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

8 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12825416/full.md

## References

55 references — full list in the complete paper: https://tomesphere.com/paper/PMC12825416/full.md

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Source: https://tomesphere.com/paper/PMC12825416