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CASE 15: Malignant Giant Cell Bone Tumor of the Right Iliac Wing
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- 44-year-old male patient
- He has undergone surgery twice for giant cell bone tumors in the right iliac wing.
- A needle biopsy performed due to recurrence revealed a malignant giant cell bone tumor, but scans of the patient showed no metastases.
- The patient underwent internal hemipelvectomy and reconstruction (lumbopelvic fixation with fibula and titanium cage).
Preoperative examination: X-ray shows irregularity, cementum, and a mass lesion in the right iliac crest.
Preoperative: CT scan shows widening, irregularity, damage, and cementum presence in the right iliac wing.
Preoperative: PET-CT shows increased, intense activity in the outer part of the right iliac wing.
During the operation: The incision plan, which incorporates the old surgical wound, is shown.
During the Operation: The preservation of neurovascular structures during resection and the reconstruction procedure performed are shown.
During the operation: Clinical and fluoroscopy images of the removed tumor tissue.
Postoperative: The X-ray shows the fibula after resection and lumbopelvic fixation with a titanium cage.
