Surgery: Giant cell fibroblastoma (GCF) — Tumor resection. Treatment
Giant cell fibroblastoma (GKF) is a benign tumor of the fibrous tissue, which occurs mainly in children under 10 years old. It has the form of cutaneous or subcutaneous nodules, poorly demarcated from the surrounding tissues. Its most typical location is back, chest, shoulders and lower limbs. The formations are remarkable for slow growth and usually do not exceed 8 cm in diameter. The treatment method is surgery. In some cases, the use of radiation therapy may be considered.
Before surgery, a tumor biopsy must be conducted, followed by histological examination. The study of cells under a microscope allows confirming the disease nature with high accuracy. It is important to differentiate the GCF from such malignancies as angiosarcoma and liposarcoma.
Since fibroblastoma invade the surrounding tissues, the best method of their elimination is surgical excision. The intervention is performed under local anesthesia. The surgeon makes an incision in the skin, grasps the tumor with forceps and excises the same with a scalpel. The wound is closed with intradermal sutures.
The surgery is carried out in one day. After its completion, the patient is observed in the clinic for several hours and is discharged subject to the lack of complications.
Upon local tumor distribution or in the case of the tumor relapse, the surgical treatment may be supplemented with radiotherapy.
- Conformal radiation. The streams of gamma rays are formed in three dimensions, perfectly adapting them to the entire volume of the tumor. The treatment plan is developed using special software.
- Therapy with intensity modulation. It is a type of conformal radiation, upon which the radiation dose is distributed with regard to the shape and volume of the target.
- Proton therapy. The pathologic focus is affected by beams of heavy particles, i.e. protons. The energy is released exactly at the desired depth, not distributing about the surrounding tissues
To map the treatment chart, the radiologists use CT and MRI.Hide