GIANT CELL TUMOUR

Question 1

DEFINE

Answer 1

CONSISTS OSTEOCLAST TYPE GIANT CELL ( HAVING 100 OR MORE NUCLEI ) , GIANT CELL BELIEVE DTO FORM BY FUSION OF MONOCYTES

Question 2

PATHOLOGY

Answer 2

GROSS
MICROSCOPIC

Question 2

AGE

Answer 2

20 TO 40 YEARS

Question 3

GROSS

Answer 3

EPIPHYSEAL END OF BONE ENLARGED TO ONE SIDE
TUMOUR MAYE BE RED OR BROWN
NO PERIOSTEAL NEW BONE FORMATION
INNER WALL OF TUMOUR LINED BY FIBROUS CAPSULE FROM WHICH SEPTA ARISE WHICH PARTITIONS THE BONE

Question 3

MICROSCOPY

Answer 3

UNDIFFERENTIATED SPINDLE CELLS WITH MULTINUCLEATED GIANT CELL

Question 4

SEX

Answer 4

MALE

Question 4

SITE

Answer 4

AROUND KNEE AND LOWER END OF RADIUS

Question 5

LOCATION

Answer 5

EPIPLYSIS IN ADULT
METAPHYSIS IN CHILDREN

Question 6

RADIOGRAPH

Answer 6

SOLITARY , LYTIC LESION
ECCENTRIC LOCATION NEAR EPIPHYSIS
SOAP BUBBLE APPEARANCE
NO ERIOSTEAL NEW BONE FORMATION
THINNED CORTEX
JOINT NOT INVOLVED

Question 6

CLINICAL FEATURES

Answer 6

NO PAIN
HISTORY OF TRAUMA
SWELLING ON ONE SIDE OF BONE
SKIN STRETCHED , NO DIALATED VEINS
IF PATHOLOGICAL # PRESENT = DEFORMED LIMB

Question 7

TREATMENT

Answer 7

EXCISION
EXCISION AND REPLACED BY VASCULARISED BONE GRAFT
EXCISION WITH RECONSTRUCTION
CURRETAGE WITH OR WITHOUT SUPLEMENTARY PROCEDURE
AMPUTATION
RADIOTHERAPY

Question 8

EXCISION WITH RECONSTRUCTION

Answer 8

ARTHRODESIS BY TURN O PLASTY PROCEDURE
ARTHRODESIS BY BRIDGING THE GAP
ARTHROPLASTY USING ALLOGRAFT , AUTOGRAFT OR PROSTHESIS

Question 9

CURRETAGE WITH OR WITHOUT SUPPLEMENTARY PROCEDURE

Answer 9

ONLY CURETTAGE
CRYOTHERAPY WITH LIQUID NITROGEN
CHEMICAL CAUTERY BY PMMA
BONE GRAFTING