Giant cell tumor with pathological fracture

Discussion:

Giant cell tumor (GCT) of the bone is a usually benign bone tumor which arises from the metaphysis and typically extends into the epiphysis of the long bones.

The commonest site representing more than half of cases is around the knee, as in this case.

On plain film the lesion is typical an expansile, lucent lesion without a sclerotic rim, but with cortical thinning and uncommonly periosteal reaction.  A pathological fracture is often present at presentation.

This case was referred to an out of country of residence hospital bone center, for further review and biopsy, the result of which is not currently known.

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