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Image Based Question – 73099

Question

Which statement is incorrect about the pathology shown in the image:

A. Tumor arise from epiphyseal to metaphyseal region

B. Tumor has distinct margin

C. Eccentric lesion

D. Chemotherapy is the treatment of choice

 

Show Answer

Correct Answer » D

Explanation

Answer. D. Chemotherapy is the treatment of choice

Given image is of Giant cell tumor 

  • Giant cell tumors of bone, also known as osteoclastomas, are relatively common bone tumors and are usually benign.
  • They typically arise from the metaphysis of long bones, extend into the epiphysis adjacent to the joint surface, and have a narrow zone of transition.

Classic appearance

There are four characteristic radiographic features when a giant cell tumor is located in a long bone:

  • occurs only with a closed growth plate
  • abuts articular surface: 84-99% come within 1 cm of the articular surface 1
  • well-defined with non-sclerotic margin(though
  • eccentric: if large this may be difficult to assess

Treatment

  • Classically, treatment is with curettage and packing with bone chips or polymethylmethacrylate (PMMA).

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