PMC4844495_01
Plain radiograph of wrist showing lytic lesion in Capitate
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F1
Radiograph of the left wrist posteroanterior and lateral view showed a lytic lesion in the capitate bone with thinned out cortex (Fig. 1).
CT Scan wrist showing lytic lesion in Capitate
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F2
Tomography (CT scan) of the wrist revealed a non expansile lytic lesion in the left Capitate. There was no evidence of other carpal bone or joint involvement (Fig 2).
Intra operative picture showing cavity in Capitate after extended curettage of the lesion
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F3
Patient underwent incisional biopsy of the left Capitate through a dorsal approach (Fig. 3).
Histopathalogical photomicrograph showing multinucleated giant cell (arrow)
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F4
Histopathological examination of the specimen showed multinucleated osteoclast like giant cells and spindle cells stroma with plumpy nuclei consistent with the GCT (Fig. 4).
1 year follow up radiograph showing no recurrence
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F5
At the end of 1 year follow up, patient was symptom free and near normal range of movements and with no evidence of recurrence (Fig. 5).