Introduction: Giant cell tumor of the bone (GCTB) is a rare benign locally aggressive tumor. Surgical resection whenever feasible is treatment of choice for GCTB. Case Presentation: In this report the author will review a case of well locally controlled postoperative GCTB on left ilium bone after adjuvant radiation was delivered, with metachronous lesion on right calcaneus and distal tibia which appeared 9 years later.Conclusions: Radiation either in adjuvant setting or definitive in unresectable lesion could bring adequate local control.
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