title: Giant cell tumour--a very rare differential for a lytic lesion of the medial condyle of the humerous.
abstract: Tumours are rare around the elbow joint, and giant cell tumours are especially rare in this region. A single case report of a giant cell involving the distal humerous was found in the literature and none were found involving the isolated medial condyle. We present a rare case of a 22-year-old woman with progressively increasing painful swelling in her left elbow over a period of 6 months. A plain radiograph revealed an expansile epiphyseometaphyseal, radiolucent lesion in the medial end of the distal humerous, with the rim being thin but still intact. The MRI of the elbow revealed a solid lesion in the medial aspect of the elbow with no breach of cortex. Biopsy of the lesion revealed multinucleated giant cells along with mononuclear cells consistent with a diagnosis of giant cell tumour. Extended curettage with bone cement was performed through an anterior approach. There has been no recurrence of the tumour in 2 years of follow-up; the patient has a good range of elbow movements of 20-110°.
authors.affiliation: LHMC, Delhi, India.
authors.forename: Jatin
authors.initials: J
authors.lastname: Prakash
authors.affiliation: LHMC, Delhi, India.
authors.forename: Anil
authors.initials: A
authors.lastname: Mehtani
authors.affiliation: LHMC, Delhi, India.
authors.forename: Tankeshwar
authors.initials: T
authors.lastname: Baruah
mesh_terms: D000328:Adult; D001706:Biopsy; D001843:Bone Cements; D001859:Bone Neoplasms / Q000473:pathology* / Q000601:surgery; D003475:Curettage; D004550:Elbow / Q000473:pathology* / Q000601:surgery; D004551:Elbow Joint / Q000473:pathology*; D005260:Female; D018212:Giant Cell Tumor of Bone / Q000473:pathology* / Q000601:surgery; D015726:Giant Cells / Q000473:pathology*; D006801:Humans; D006811:Humerus / Q000473:pathology*; D055815:Young Adult
chemical_list: D001843:Bone Cements