case presentation 성균관의대 삼성서울병원 정형외과 성기선 증례 11. f/48 2003. 07
TRANSCRIPT
Case Presentation
성균관의대 삼성서울병원정형외과 성기선
증례 11
F/48 2003. 07
GCT, stage 3Curettage and cementing
2005. 08, postop. 23mo
resection and reconstruction with a tumor prosthesis, 2005. 09.
2nd recurrence, 2006. 08.
3rd op: curettage and cementing
3rd recurrence, distal femur, 2007. 03
4th op: curettage and cementing
4th recurrence, distal tibia, 2007. 07
5th op: curettage and cementing
Lung meta, 2007. 07VATS: meta of GCT
5th recurrence, distal femur, 2007.11
6th op: curettage and cementing, 07.11
마지막 수술 후 1 년째 , 08.10
• Mild inguinal pain 호소• Knee and ankle: pain free
CT guided Bx: GCT
What is to be done?
Metastasis of GCT
• Lung, rarely soft tissue and a case report of breast
• Hematogenous seeding to other skeleton?
• Metachronous lesion?– Bone scan(2003): solitary lesion – Bone scan(2007): around knee and chest, no
lesion around pelvis