Orthonotes
Orthonotes
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v3.0 Fusion
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Giant Cell Tumor — Campanacci Classification

Locally aggressive benign tumor in skeletally mature adults (20–40 yrs). Campanacci classification: Grade I (latent), II (active), III (aggressive with soft tissue extension). X-ray: eccentric lytic lesion, soap-bubble appearance. Treatment: extended curettage with adjuvants, PMMA, or wide excision. Denosumab indicated in sacral/spinal or unresectable lesions.

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Locally aggressive benign tumor in skeletally mature adults (20–40 yrs). Campanacci classification: Grade I (latent), II (active), III (aggressive with soft tissue extension). X-ray: eccentric lytic lesion, soap-bubble appearance. Treatment: extended curettage with adjuvants, PMMA, or wide excision. Denosumab indicated in sacral/spinal or unresectable lesions.
MCQs

High-yield practice questions

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Question 1

What is the most common age group for the presentation of Giant Cell Tumor (GCT) of bone?

Question 2

In the Campanacci classification, which grade of Giant Cell Tumor is characterized by well-defined margins with a sclerotic rim and an intact cortex?

Question 3

Which imaging modality is essential for preoperative planning to define cortical integrity and soft tissue extension in Giant Cell Tumor?

Question 4

What is the most common treatment approach for Campanacci Grade II Giant Cell Tumor?

Question 5

Which of the following features is characteristic of Campanacci Grade III Giant Cell Tumor?

Question 6

Which of the following statements is true regarding the epidemiology of Giant Cell Tumor?

Question 7

In cases of Giant Cell Tumor involving the sacrum or spine, which treatment option is most appropriate if the lesion is unresectable?

Question 8

What percentage of Giant Cell Tumors can metastasize to the lung?

Question 9

What is the characteristic radiographic appearance of Grade II Giant Cell Tumor?

Question 10

The 'soap-bubble' appearance on X-ray is most commonly associated with which grade of Giant Cell Tumor?