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Giant cell tumor complicating Paget disease of long bone

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Abstract

Giant cell tumor (GCT) is a rare complication of Paget disease of bone. It usually occurs in the skull or pelvic bones of patients with long-standing polyostotic disease. This report describes a 62-year-old patient who presented with monostotic Paget disease of the distal femur complicated by GCT. He had a 2-year history of discomfort and pain in his left knee. Conventional plain films and MRI demonstrated the characteristic bone changes of Paget disease and an associated lytic lesion involving the epiphyseal and metaphyseal regions of the distal femur. A diagnostic curettage showed the characteristic histopathologic features of Paget disease and GCT. There was no evidence of malignancy. The clinicopathologic features of this rare lesion are described and correlated with a review of the literature.

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Authors and Affiliations

  1. Department of Pathology, Mount Sinai Medical Center, One Gustave L. Levy Place, Box 1194, New York, NY, 07422, USA

    Benjamin Hoch

  2. Department of Radiology, Mount Sinai Medical Center, New York, NY, USA

    George Hermann

  3. Department of Pathology, University of Alabama School of Medicine, Birmingham, AL, USA

    Michael J. Klein

  4. Department of Radiology, Coney Island Hospital affiliated with CUNY Downstate School of Medicine, New York, NY, USA

    Ibrahim Fikry Abdelwahab

  5. Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA, USA

    Dempsey Springfield

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  1. Benjamin Hoch
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  2. George Hermann
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  3. Michael J. Klein
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  4. Ibrahim Fikry Abdelwahab
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  5. Dempsey Springfield
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Correspondence to Benjamin Hoch.

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Hoch, B., Hermann, G., Klein, M.J. et al. Giant cell tumor complicating Paget disease of long bone. Skeletal Radiol 36, 973–978 (2007). https://doi.org/10.1007/s00256-007-0310-x

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  • DOI: https://doi.org/10.1007/s00256-007-0310-x

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