Authors :
Dr. Selvaraj.K; Dr. Navneeth Kamath; Dr. Kadappa Shedyal
Volume/Issue :
Volume 8 - 2023, Issue 6 - June
Google Scholar :
https://bit.ly/3TmGbDi
Scribd :
https://tinyurl.com/2p8vy784
DOI :
https://doi.org/10.5281/zenodo.8112947
Abstract :
Case –
32year old female who presented with complaints of
pain over right groin and difficulty in bearing weight
over right lower limb in the last 1 year. Pain was
insidious in onset, gradually progressive, radiating to
right knee and leg, dull aching in nature, aggravated on
walking and strenuous exercise and relieved on rest and
medications without any constitutional symptoms.
Patient sustained trivial trauma due to accidental fall
after which she was unable to walk and weight bear on
that limb. There were no similar complaints in other
joints. on examination, patient was conscious, oriented to
time, place and person and vitals are stable. Tenderness
present over right pubic tubercle and crest region. there
was no distal neurovascular deficit. Overlying skin was
normal without any scar, sinus, or dilated veins. Plain
radiograph shows Expansile lytic lesion involving
superior pubic rami, acetabulum, and sciatic notch. MRI
pelvis showed well defined expansile lytic abnormal
signal intensity lesion involving the anterior wall, medial
wall and roof of right acetabulum extending to the
adjacent right superior pubic rami favours neoplastic
aetiology – GCT. Relevant blood investigations, CT
Thorax and USG abdomen and pelvis done and mets
ruled out. Open biopsy was done and GCT was
confirmed. She was diagnosed to have Non metastatic
GCT of right superior pubis and acetabulum (roof,
medial and anterior wall). She underwent Tumour
resection, extended curettage, adjuvant use and
reconstruction with morselized fried dried allograft and
ipsilateral tricortical iliac crest autograft.
Conclusion
Despite the rarity of this tumour in pelvis and
acetabulum and delay in presentation at most of the
times, early diagnosis and treatment protocol of surgical
management and reconstruction of the void part gives
better clinical and functional outcome. This case gives as
one mode of treatment which gave better outcomes.
Keywords :
Giant Cell Tumour, Extended Curettage, Reconstruction.
Case –
32year old female who presented with complaints of
pain over right groin and difficulty in bearing weight
over right lower limb in the last 1 year. Pain was
insidious in onset, gradually progressive, radiating to
right knee and leg, dull aching in nature, aggravated on
walking and strenuous exercise and relieved on rest and
medications without any constitutional symptoms.
Patient sustained trivial trauma due to accidental fall
after which she was unable to walk and weight bear on
that limb. There were no similar complaints in other
joints. on examination, patient was conscious, oriented to
time, place and person and vitals are stable. Tenderness
present over right pubic tubercle and crest region. there
was no distal neurovascular deficit. Overlying skin was
normal without any scar, sinus, or dilated veins. Plain
radiograph shows Expansile lytic lesion involving
superior pubic rami, acetabulum, and sciatic notch. MRI
pelvis showed well defined expansile lytic abnormal
signal intensity lesion involving the anterior wall, medial
wall and roof of right acetabulum extending to the
adjacent right superior pubic rami favours neoplastic
aetiology – GCT. Relevant blood investigations, CT
Thorax and USG abdomen and pelvis done and mets
ruled out. Open biopsy was done and GCT was
confirmed. She was diagnosed to have Non metastatic
GCT of right superior pubis and acetabulum (roof,
medial and anterior wall). She underwent Tumour
resection, extended curettage, adjuvant use and
reconstruction with morselized fried dried allograft and
ipsilateral tricortical iliac crest autograft.
Conclusion
Despite the rarity of this tumour in pelvis and
acetabulum and delay in presentation at most of the
times, early diagnosis and treatment protocol of surgical
management and reconstruction of the void part gives
better clinical and functional outcome. This case gives as
one mode of treatment which gave better outcomes.
Keywords :
Giant Cell Tumour, Extended Curettage, Reconstruction.
