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The Journal of Bone and Joint Surgery 79:259-62 (1997)
© 1997 The Journal of Bone and Joint Surgery, Inc.

Late Malignant Transformation of a Benign Giant-Cell Tumor of Bone. A Case Report*

R. J. B. SAKKERS, M.D.{dagger}, R. O. VAN DER HEUL, M.D., PH.D.{dagger}, H. M. KROON, M.D., PH.D.{dagger}, A. H. M. TAMINIAU, M.D., PH.D.{dagger} and P. C. W. HOGENDOORN, M.D., PH.D.{dagger}, LEIDEN, THE NETHERLANDS

Investigation performed at Leiden University, Leiden


    Introduction
 
Malignant giant-cell tumors of bone are very rare. These tumors usually present as de novo lesions or, several years after treatment with curettage combined with radiation therapy, as malignant transformation of a benign giant-cell tumor. However, malignant transformation without adjuvant radiation therapy has also been reported1,2,5,8-12,14,16.

We present a well documented case of late progression of a giant-cell tumor of bone to a malignant fibrous histiocytoma.


    Case Report
 
In September 1991, a forty-five-year-old man was seen because of pain on the medial side of the left knee, especially at night. Almost twenty years earlier, in March 1972, a benign osteolytic lesion, which had been radiographically and histologically consistent with a low-grade giant-cell tumor of bone (Figs. 1 and 2), had been removed with curettage from the medial portion of the epiphysis and metaphysis of the proximal aspect of the left tibia. The defect had been filled with bone taken . . . [Full Text of this Article]


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