A 24 years old female presented with inability to rise, walk or move her waist/lower body parts suddenly for just one month incidentally following a first trimester MTP in recent past. Clinically she had an unsafe abortion as detected by imaging which revealed features of pelvic collection and inflammatory pelvic disease and also neutrophilia in blood. Vaginal discharge was sterile after course of antibiotics. However, severe low-back pain persisted and a MRI scan revealed erosion of the left sacro-iliac region measuring about 1 cm in diameter suggesting infective etiology. CT scan-guided FNAC from the region was just miraculous to reveal a giant cell tumor (see photomicrograph) of the iliac bone which was really never thought of! Surgical curettage of the tumor has been attempted to cure her ailments and her symptoms have been alleviated significantly; still she is on follow-up!
Learning Points/Take Home Messages
Giant cell tumor of flat hip bones is rare but should be thought of and diagnosed with the help of simple cytological tests!
About The Author
Dr. Samanta, MBBS, MD is currently a consultant at EKO Diagnostic PVT. LTD. Kolkata, India for histopath, cytopath and hematology. His other interests are: oncopathology, bone marrow and neuropathology.
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Quick Case: Giant Cell Tumor of Ilium in a Young Female
A 24 years old female presented with inability to rise, walk or move her waist/lower body parts suddenly for just one month incidentally following a first trimester MTP in recent past. Clinically she had an unsafe abortion as detected by imaging which revealed features of pelvic collection and inflammatory pelvic disease and also neutrophilia in blood. Vaginal discharge was sterile after course of antibiotics. However, severe low-back pain persisted and a MRI scan revealed erosion of the left sacro-iliac region measuring about 1 cm in diameter suggesting infective etiology. CT scan-guided FNAC from the region was just miraculous to reveal a giant cell tumor (see photomicrograph) of the iliac bone which was really never thought of! Surgical curettage of the tumor has been attempted to cure her ailments and her symptoms have been alleviated significantly; still she is on follow-up!
Learning Points/Take Home Messages
Giant cell tumor of flat hip bones is rare but should be thought of and diagnosed with the help of simple cytological tests!
About The Author
Dr. Samanta, MBBS, MD is currently a consultant at EKO Diagnostic PVT. LTD. Kolkata, India for histopath, cytopath and hematology. His other interests are: oncopathology, bone marrow and neuropathology.
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