Author clinical case

Clinical case: giant cell tumour of the pubic bone

A multidisciplinary decision in a surgically complex pelvic site.

Source-confirmed archive case. The MDT record identifies giant cell tumour of the right pubic bone. Open biopsy and pathology were documented, followed by denosumab therapy. Follow-up CT showed growth and the team planned pubic bone resection.

The clinical challenge

The pubic bone is anatomically demanding because of pelvic viscera, vascular structures, muscle attachments and load transfer through the pelvic ring. The archival MDT review documented tumour growth after systemic treatment and a surgical plan.

Pubic bone CT in a clinical archive case — CT illustrating anatomical assessment of the anterior pelvic bone tumour in a documented giant cell tumour case.

Planning the operation

The source describes planned resection of the pubic bone. Reconstruction details, final operative pathology and functional outcome were not present and are therefore not claimed.

Key patient message

Giant cell tumour of bone is not synonymous with high-grade bone sarcoma, but may be locally aggressive and cause fracture or recurrence. Medication and surgery are not universally interchangeable and require specialist MDT review.

Understanding GCTBiology and differential diagnoses →Treatment choicesResection, local treatment and reconstruction →

Clinical sources

Clinical images and videos from the author’s archive. Patient identifiers have been removed. Diagnoses are stated only where supported by source records. This information does not replace an individual multidisciplinary decision.

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