Presentation
Curettage and packing with bone cement of the right distal tibia for a bone tumor two years ago.
Patient Data
Bone cement in the distal tibia on the posteromedial aspect.
Radiolucent lytic expansile area with a narrow zone of transition superior to the bone cement causing irregular cortical thinning.
No matrix calcification or periosteal reaction.
T1W low signal, heterogeneous T2W/PD FS high signal intramedullary solid lesion centered on the distal third of the right tibia above the bone cement causing cortical breakthrough and soft tissue component on the medial side.
No cystic areas or fluid-fluid levels identified.
Case Discussion
The patient was a known case of right tibial giant cell tumor two years ago and underwent tumor excision and bone cementation.
After two years with regard to the above imaging findings, there is recurrence of the known bone tumor.
The cementing of the cavity helps in the evaluation of bone tumor borders and thereby the detection of new lytic areas/lesions.
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