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Giant cell tumor of bone

Case contributed by Farzin Soltan Mohammadlou
Diagnosis certain

Presentation

Left thigh and knee pain for the last 6 months. Pain increases with walking and activity.

Patient Data

Age: 25 years
Gender: Female

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Zoomed frontal XR of knee

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. 

ct

CT demonstrates the cortical breach and associated soft tissue component. 

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 cell tumor). Second surgery the whole tumor was removed and tumor bed was filled with cement and proximal tibia fixed with plate.

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