Case Presentation 성균관의대 삼성서울병원 정형외과 성기선 증례 11. F/48 2003. 07.

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Case Presentation 성균관의대 삼성서울병원 정형외과 성기선 증례 11

F/

GCT, stage 3 Curettage and cementing

, postop. 23mo

resection and reconstruction with a tumor prosthesis,

2 nd recurrence,

3 rd op: curettage and cementing

3rd recurrence, distal femur,

4 th op: curettage and cementing

4 th recurrence, distal tibia,

5 th op: curettage and cementing

Lung meta, VATS: meta of GCT

5 th recurrence, distal femur,

6 th op: curettage and cementing, 07.11

마지막 수술 후 1 년째, Mild inguinal pain 호소 Knee and ankle: pain free

CT guided Bx: GCT

What is to be done?

Metastasis of GCT Lung, rarely soft tissue and a case report of breast Hematogenous seeding to other skeleton? Metachronous lesion? –Bone scan(2003): solitary lesion –Bone scan(2007): around knee and chest, no lesion around pelvis