Metachronous multicentric giant cell tumour of the upper extremity in a skeletally immature girl : A rare presentation


Published online: Oct 27 2010

Mohammad Zahid, Naiyer Asif, Aamir Bin Sabir, Yasir Salam Siddiqui, Mohammad Julfiqar

From Jawaharlal Nehru medical College Hospital, A.M.U., Aligarh, India

Abstract

Giant Cell tumour (GCT) or Osteoclastoma is a benign locally aggressive tumour with a tendency for local recurrence. Long tubular bones (75-90%) are frequent sites of involvement. GCT constitutes 5% of all primary bone tumours. Metachronous multicentric giant cell tumour of bone is a rare entity. Multicentric GCT, in contrast to unifocal GCT, has a tendency to involve the small bones of hands and feet, involving the metaphysis/diaphysis of long bones and tends to occur in a slightly younger population. We report a young girl presenting with metachronous multicentric recurrent benign GCT, with the lesions involving the ipsilateral right hand and distal humerus. She was successfully treated with an aggressive surgical approach (en-bloc resection).