Giant cell tumour of bone

Case contributed by Dr Prashant Mudgal

Presentation

Alcoholic lady, dancer by occupation, presented with growing swelling in the lower right thigh adjacent to the knee. The swelling was hard and tender on examination.

Patient Data

Age: 35 years
Gender: Female
Modality: CT

There is an osteolytic, expensile, exophytic lesion seen arising from the distal end of the right femur. The overlying cortex is thinned out and deficient at some places. There is no matrix calcification seen.

Modality: MRI

There is a large, irregular, exophytic lesion seen in the distal end of right femur, the lesion is hypointense on T1 and T2 sequences, heterogeneously hyperintense on PDFS and STIR sequences. Marked peripheral enhancement is seen post contrast along with the enhancement of adjacent bone marrow.

Moderate suprapatellar effusion is seen.

Case Discussion

This is a typical case of giant cell tumour. GCT or osteoclastoma is one of the most common bone tumour, typically affects individual between 20 to 50 years of age. It is three times more common in men thanin  women with the most common location being at the distal end of femur.

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Case Information

rID: 28813
Case created: 13th Apr 2014
Last edited: 6th Feb 2016
Tag: pm
Inclusion in quiz mode: Included

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