Bone cement with tumor recurrence - distal tibia

Case contributed by Dr Bahman Rasuli

Presentation

Curettage and packing with bone cement of the right distal tibia for a bone tumour two years ago.

Patient Data

Age: 25 years
Gender: Male

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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Case information

rID: 71937
Published: 31st Oct 2019
Last edited: 1st Nov 2019
Inclusion in quiz mode: Included
Institution: Jame Jam Imaging Center

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