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Synchronous multicentric giant cell tumour of immature skeleton with epiphysiometaphyseal origin
  1. Sandeep Kumar Yadav1,
  2. Prabodh Kantiwal1,
  3. Rajesh Kumar Rajnish1,
  4. Ashish Garg1 and
  5. Divya Aggarwal2
  1. 1Orthopedics, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
  2. 2Department of Pathology and LaboratoryMedicine, All India Institute of Medical Sciences, Jodhpur, India
  1. Correspondence to Dr Ashish Garg; ashishgarg30011993{at}


Giant cell tumour of bone accounts for 5% of all primary bone tumours. Multicentric giant cell tumour is an infrequent variety be it either synchronous or metachronous accounting for less than 1% of all giant cell tumours. Synchronous multicentric giant cell tumour of foot and ankle with epiphysiometaphyseal origin is unheard of. We delineate a case of soap-bubble appearance lytic lesions at left distal tibia and talus in an early adolescent woman with biopsy proven giant cell tumour for its rarity and its successful management by extended curettage and allogenic impaction bone grafting.

  • Orthopaedics
  • Screening (oncology)

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  • Contributors Patient was under care of SKY. Surgical management was provided by PK and AG under supervision of SKY.Patient Follow-up was taken care by AG and RKR. Manuscript was written by AG. DA did histopathological examination. Proof reading by SKY, RKR and DA.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.