Giant-cell tumor (GCT) of bone in the hand is very rare. Although this disorder is benign, GCTs show a tendency of significant bone destruction, local recurrence and, occasionally, pulmonary metastasis. Approximately 3% of GCTs is known to metastasize to the lung. Here we report a case of GCT of proximal phalanx of the middle finger in a 21 years old male. In this case recurrence occurred early and there were both local and distant metastasis during the recurrence. The patient underwent ray amputation of the finger and the diagnosis was confirmed by means of microscopy on the specimen. No surgery was performed for metastases and it was controlled by chemotherapy.
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