RECURRENT GIANT CELL TUMOR March 18, 2010 By: Chris Beauchamp MyPACS Case # 3742.

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Presentation transcript:

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 tissue mass

© CP Beauchamp MD Orthopaedia.com Figure 3: Pre-biopsy CT scan 5/7/03: Cortical breakthrough, soft tissue mass

© CP Beauchamp MD Orthopaedia.com Figure 4: Giant Cell Tumor

© CP Beauchamp MD Orthopaedia.com Figure 5: 5/20/03: Unicondylar + osteoarticular allograft

© CP Beauchamp MD Orthopaedia.com Figure 6: 8/5/03: Early Local Recurrence 3 mos.

© CP Beauchamp MD Orthopaedia.com Figure 7: 8/5/03 Local Recurrence

© CP Beauchamp MD Orthopaedia.com Figure 8: 8/6/03: Well seen on CT

© CP Beauchamp MD Orthopaedia.com Figure 9: 8/6/03: Recurrent Tumor

© CP Beauchamp MD Orthopaedia.com Figure 10: 8/6/03

© CP Beauchamp MD Orthopaedia.com Figure 11: 8/6/03

© CP Beauchamp MD Orthopaedia.com Figure 12: 9/18/03: APC Reconstruction with Zimmer Rotating Hinge, Pants over Vest extensor mechanism reconstruction

© CP Beauchamp MD Orthopaedia.com Figure 13: 9/18/03: Allowed full weight bearing post op

© CP Beauchamp MD Orthopaedia.com Figure 14: gross

© CP Beauchamp MD Orthopaedia.com Figure 15: gross

© CP Beauchamp MD Orthopaedia.com Figure 16

© CP Beauchamp MD Orthopaedia.com Figure 17

© CP Beauchamp MD Orthopaedia.com Figure 18

© CP Beauchamp MD Orthopaedia.com Figure 19

© CP Beauchamp MD Orthopaedia.com Figure 20