Giant cell tumour of bone

Case contributed by Dr Farzin Soltan Mohammadlou

Presentation

Chief complaints of left thigh and knee pain since 6 months. Pain increases with walking and activity.

Patient Data

Age: 25
Gender: Female

Zoomed frontal radiograph of knee

Modality: X-ray

A well defined lytic, eccentric medullary epimetaphyseal lesion with diaphyseal extension is seen along the lateral aspect of proximal tibia with cortical thinning and breach. Fairly narrow zone of transition in a mature skeleton. 

Modality: CT

CT demonstrates the cortical breach and associated soft tissue component. 

Modality: Nuclear medicine

Bone scan identifies increased uptake in the lesion. 

Case Discussion

This patient underwent surgery with open excisional biopsy and her pathology was GCT(Giant xellctumor). Second surgery the whole tumour was removed and tumour bed was filled with cement and proximal tibia fixed with plate.

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Case Information

rID: 21406
Case created: 20th Jan 2013
Last edited: 6th Dec 2016
Inclusion in quiz mode: Included

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