Recalcitrant tumor of the fifth metacarpal bone in a hemodialyzed patient

The article presents a case report about a 38-year-old hemodialyzed woman who presented to our department with a painful, expansile, lytic bone lesion of the fifth metacarpal epiphysis. The lesion was resected and replaced by corticocancellous bone graft. At 3 months, imaging suggested signs of graft resorption and local recurrence which necessitated repeat excision and grafting. Because of secondary parathyroidism subsequent subtotal parathyroidectomy was performed. This procedure leads to appropriate bone remodeling by 8 weeks postoperatively, and recurrence has not been observed at 2 years of follow up.