We report a 45-year-old man who presented with a 3-month history of pa
in and swelling in the proximal phalanx of the right fifth finger, Aft
er biopsy and pathological examination the lesion was found to be an a
ggressive (Enneking's stage 3) giant cell tumor of the proximal phalan
x. Due to the high rate of recurrence of stage 3 giant cell tumors in
the hand after en bloc resection, it was decided to amputate the right
little finger through the metacarpo-phalangeal joint. After a 3-year
follow-up of the patient there have been no recurrences or metastases.