Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Tumours
Abstract number: 23420
MULTICENTRIC METACHRONOUS GIANT CELL TUMOUR OF VERTEBRAE
AND TIBIA.
Sunil Gurpur KINI, Aditya N AGGARWAL, M P SINGH, Sudhir KUMAR
University College of Medical Sciences, New Delhi (INDIA)
AbstractBackground Multiple metachronous giant cell tumours (GCT), occurring in
an individual are extremely rare.Purpose A patient presented with GCT of multiple
thoracic and lumbar vertebrae, 14 year subsequent to occurrence of GCT of proximal
end of left tibia.Study design Case report.Method Forty-year-old male presented
with upper motor neuron paraplegia with sphincter involvement and complete
sensory involvement below T11 spinal level. There was a surgical scar of resection
arthrodesis of left knee for GCT proximal tibia. Radiographs showed compression of
T8, T10, T12, L1 and L4 vertebrae. Routine haematological investigations including
serum PTH levels were normal. MRI scan and CT scan showed expansile mass
lesion and compression of cord at D12 and L1 vertebrae. Posterior decompression
and stabilization was performed.Results As the second focus of the disease
occurred 14 years after the appearance of initial lesion, the second independent
focus of the disease, rather than a metastasis, is the likely cause.Keywords
Multicentric - Metachronous - Giant cell tumour - Spine
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