RECURRENT GIANT CELL TUMOR

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March 18, 2010 By: Chris Beauchamp MyPACS Case # 3742. RECURRENT GIANT CELL TUMOR. 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). - PowerPoint PPT Presentation

Transcript of 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).

© CP Beauchamp MD Orthopaedia.com

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

© CP Beauchamp MD Orthopaedia.com

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

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

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Figure 4: Giant Cell Tumor

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

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

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Figure 7: 8/5/03 Local Recurrence

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

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Figure 9: 8/6/03: Recurrent Tumor

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Figure 10: 8/6/03

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Figure 11: 8/6/03

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

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

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Figure 14: gross

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Figure 15: gross

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Figure 16

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Figure 17

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Figure 18

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Figure 19

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Figure 20