1. Case Presentation 성균관의대 삼성서울병원 정형외과 성기선 증례 11

2. F/48 2003. 07

4. GCT, stage 3 Curettage and cementing

5. 2005. 08, postop. 23mo

6. resection and reconstruction with a tumor prosthesis, 2005. 09.

8. 2 nd recurrence, 2006. 08.

9. 3 rd op: curettage and cementing

10. 3rd recurrence, distal femur, 2007. 03

11. 4 th op: curettage and cementing

12. 4 th recurrence, distal tibia, 2007. 07

13. 5 th op: curettage and cementing

14. Lung meta, 2007. 07 VATS: meta of GCT

15. 5 th recurrence, distal femur, 2007.11

16. 6 th op: curettage and cementing, 07.11

17. 마지막 수술 후 1 년째, 08.10 Mild inguinal pain 호소 Knee and ankle: pain free

21. CT guided Bx: GCT

22. What is to be done?

23. 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