Osteoclastoma

  • A type of bone tumour characterized by massive destruction of bone near the end (epiphysis) of a long bone. The site most commonly struck by this tumour is the knee – the far end of the femur and the near end of the tibia.
  • The tumour is often coated by new bony growth.
  • It causes pain and restricts movement.
  • Treatment of Osteoclastoma is surgery.
  • Osteoclastoma occurs more often in woman than in men and has a peak incidence in the third decade of life.
  • Osteoclastoma, also called “giant-cell tumour of the bone”.
  • The tumour is full of large multinucleate cells (cells with more than one nucleus) that look gigantic when viewed magnified through a microscope.
  • A relatively uncommon tumour
  • These tumours are generally benign, with unpredictable behaviour.
  • Accounts for 4-5% of primary bone tumours and ~20% of benign bone tumours.
  • Significantly higher incidence rates are observed in Asia, where it constitutes 20% of all primary bone tumours in China.
  • Patients usually present with pain and limited range of motion caused by the tumours proximity to the joint space.
  • There may be swelling as well, if the tumour has been growing for a long time.
  • Some patients may be asymptomatic until they develop a pathologic fracture at the site of the tumour.
  • The symptoms may include muscular aches and pains in arms, legs, and abdominal pain.
  • Patients may also experience nerve pain which feels like an electric shock.
  • Curettage is a common treatment technique
  • If the patient has suffered a pathological fracture, then it is best to wait for the fracture to heal before proceeding with surgery.
  • Patients with tumours that are not excisable via surgery are treated with radiation therapy.


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