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Wheeless' Textbook of Orthopaedics
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Pulmonary metastasis of benign giant cell tumor of bone. Six histologically


confirmed cases, including one of spontaneous regression. Á Kay RM. Eckardt JJ. Seeger LL. Mirra JM. Hak DJ. Clinical Orthopaedics & Related Research. (302):219-30, 1994 May. Benign giant cell tumor of bone, despite being classified as benign, has the unusual ability to metastasize. Metastasis of such a tumor has been thought to be rare, with only approximately 50 such cases having been Á reported. However, as awareness of the metastatic potential of these  tumors has increased, and methods of detection have improved, metastasis of benign giant cell tumor has been increasingly recognized. Six patients with pulmonary metastasis of giant cell tumor have been treated at a Los Angeles hospital since 1980. This represents 9.1% of all patients treated for benign giant cell tumor of bone over the same period at this institution, a higher rate than that encountered in previously published series. The early detection and treatment of this tumor is important, because those with complete resection of tumor have the best prognosis. The nature of these pulmonary metastases remains unpredictable, however, as evidenced by two of the cases in this series: one of spontaneous regression, and another of death caused by pulmonary failure. *



Original Text by Clifford R. Wheeless, III, MD.