RECURRENT GIANT CELL TUMOR

RECURRENT GIANT CELL

TUMOR

March 18, 2010

By:

Chris Beauchamp

MyPACS Case # 3742

© CP Beauchamp MD Orthopaedia.com

History:19 Yr old female presented May 2003 with a Stage 3 GCT proximal tibia. Currettage

and hemi condylar allograft with plate fixation. Post operatively received Zometa

(bisphosphonate).


Figure 1: 5/13/03 X-ray shows eccentric radiolucent lesion


Figure 2: Pre-biopsy CT scan 5/7/03: Cortical breakthrough, soft tissuemass


Figure 3: Pre-biopsy CT scan 5/7/03: Cortical breakthrough, soft tissuemass


Figure 4: Giant Cell Tumor


Figure 5: 5/20/03: Unicondylar + osteoarticular allograft


Figure 6: 8/5/03: Early Local Recurrence 3 mos.


Figure 7: 8/5/03 Local Recurrence


Figure 8: 8/6/03: Well seen on CT


Figure 9: 8/6/03: Recurrent Tumor


Figure 10: 8/6/03


Figure 11: 8/6/03


Figure 12: 9/18/03: APC Reconstruction with Zimmer Rotating Hinge, Pantsover Vest extensor mechanism reconstruction


Figure 13: 9/18/03: Allowed full weight bearing post op


Figure 14: gross


Figure 15: gross


Figure 16


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RECURRENT GIANT CELL TUMOR

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