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Published in: International Orthopaedics 6/2006

01-12-2006 | Review

Giant cell tumour of bone: morphological, biological and histogenetical aspects

Author: Mathias Werner

Published in: International Orthopaedics | Issue 6/2006

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Abstract

The giant cell tumour of bone (GCT) is a locally aggressive intraosseous neoplasm of obscure biological behaviour. Although well defined in clinical, radiological and histological terms, detailed information on its biological development is still relatively incomplete. The tumoral tissue consists of three cell types – the neoplastic giant cell tumour stromal cells (GCTSC), representing the proliferative fraction, secondarily recruited mononuclear histiocytic cells (MNHC) and multinuclear giant cells (MNGC). These cellular components interact together with factors that have a role in regulating osteoclast function in normal bone tissue (e.g. RANK, RANKL, OPG, M-CSF). Recent publications suggest that the neoplastic stromal cells express differentiation features of mesenchymal stem cells. Further research of the pathogenesis of GCT as well as the complex interactions of its cellular populations may provide the knowledge necessary for developing approaches for a biological-based therapy of this neoplasm.
Literature
1.
go back to reference Atkins GJ, Haynes DR, Graves SE, Evdokiou A, Hay S, Bouralexis S, Findlay DM (2000) Expression of osteoclast differentiation signals by stromal elements of giant cell tumors. J Bone Miner Res 15:640–649PubMedCrossRef Atkins GJ, Haynes DR, Graves SE, Evdokiou A, Hay S, Bouralexis S, Findlay DM (2000) Expression of osteoclast differentiation signals by stromal elements of giant cell tumors. J Bone Miner Res 15:640–649PubMedCrossRef
2.
go back to reference Atkins GJ, Bouralexis S, Haynes DR, Graves SE, Geary SM, Evdokiou A, Zannettino AC, Hay S, Findlay DM (2001) Osteoprotegerin inhibits osteoclast formation and bone resorbing activity in giant cell tumors of bone. Bone 28:370–377PubMedCrossRef Atkins GJ, Bouralexis S, Haynes DR, Graves SE, Geary SM, Evdokiou A, Zannettino AC, Hay S, Findlay DM (2001) Osteoprotegerin inhibits osteoclast formation and bone resorbing activity in giant cell tumors of bone. Bone 28:370–377PubMedCrossRef
3.
go back to reference Bardi G, Pandis N, Mandahl N, Heim S, Sfikas K, Willén H, Panagiotopoulos G, Rydholm A, Mitelman F (1991) Chromosomal abnormalities in giant cell tumors of bone. Cancer Genet Cytogenet 57:161–167PubMedCrossRef Bardi G, Pandis N, Mandahl N, Heim S, Sfikas K, Willén H, Panagiotopoulos G, Rydholm A, Mitelman F (1991) Chromosomal abnormalities in giant cell tumors of bone. Cancer Genet Cytogenet 57:161–167PubMedCrossRef
4.
go back to reference Bertoni F, Present D, Sudanese A, Baldini N, Bacchini P, Campanacci M (1988) Giant-cell tumor of bone with pulmonary metastases. Six case reports and a review of the literature. Clin Orthop Relat Res 237:275–285PubMed Bertoni F, Present D, Sudanese A, Baldini N, Bacchini P, Campanacci M (1988) Giant-cell tumor of bone with pulmonary metastases. Six case reports and a review of the literature. Clin Orthop Relat Res 237:275–285PubMed
5.
go back to reference Bridge JA, Neff JR, Bhatia PS, Sanger WG, Murphy MD (1990) Cytogenetic findings and biologic behavior of giant cell tumors of bone. Cancer 65:2697–2703PubMedCrossRef Bridge JA, Neff JR, Bhatia PS, Sanger WG, Murphy MD (1990) Cytogenetic findings and biologic behavior of giant cell tumors of bone. Cancer 65:2697–2703PubMedCrossRef
6.
go back to reference Bridge JA, Neff JR, Mouron BJ (1992) Giant cell tumor of bone Chromosomal analysis of 48 specimens and review of the literature. Cancer Genet Cytogenet 58:2–13PubMedCrossRef Bridge JA, Neff JR, Mouron BJ (1992) Giant cell tumor of bone Chromosomal analysis of 48 specimens and review of the literature. Cancer Genet Cytogenet 58:2–13PubMedCrossRef
7.
go back to reference Brien EW, Mirra JM, Kessler S, Suen M, Ho JKS, Yang WT (1997) Benign giant cell tumor of bone with osteosarcomatous transformation (“dedifferentiated” primary malignant GCT): Report of two cases. Skeletal Radiol 26:246–255PubMedCrossRef Brien EW, Mirra JM, Kessler S, Suen M, Ho JKS, Yang WT (1997) Benign giant cell tumor of bone with osteosarcomatous transformation (“dedifferentiated” primary malignant GCT): Report of two cases. Skeletal Radiol 26:246–255PubMedCrossRef
8.
go back to reference Campanacci M (1994) Giant-cell tumor and chondrosarcoma: grading, treatment and results. Recent Results Cancer Res 999:257–261 Campanacci M (1994) Giant-cell tumor and chondrosarcoma: grading, treatment and results. Recent Results Cancer Res 999:257–261
9.
go back to reference Chang SS, Suratwala SJ, Jung KM, Doppelt JD, Zhang HZ, Blaine TA, Kim TW, Winchester RJ, Lee FY (2004): Bisphosphonates may reduce recurrence in giant cell tumor by inducing apoptosis. Clin Orthop Relat Res 426:103–109PubMedCrossRef Chang SS, Suratwala SJ, Jung KM, Doppelt JD, Zhang HZ, Blaine TA, Kim TW, Winchester RJ, Lee FY (2004): Bisphosphonates may reduce recurrence in giant cell tumor by inducing apoptosis. Clin Orthop Relat Res 426:103–109PubMedCrossRef
10.
go back to reference Cheng JC, Johnston JO (1997) Giant cell tumor of bone-Prognosis and treatment of pulmonary metastases. Clin Orthop 338:205–214PubMed Cheng JC, Johnston JO (1997) Giant cell tumor of bone-Prognosis and treatment of pulmonary metastases. Clin Orthop 338:205–214PubMed
11.
go back to reference Cheng YY, Huang L, Kumta SM, Lee KM, Lai FM, Tam JS (2003) Cytochemical and ultrastructural changes in the osteoclast-like giant cells of giant cell tumor of bone following bisphosphonate administration. Ultrastruct Pathol 27:385–391PubMed Cheng YY, Huang L, Kumta SM, Lee KM, Lai FM, Tam JS (2003) Cytochemical and ultrastructural changes in the osteoclast-like giant cells of giant cell tumor of bone following bisphosphonate administration. Ultrastruct Pathol 27:385–391PubMed
12.
go back to reference Cheng YY, Huang L, Lee KM, Xu JK, Zheng MH, Kumta SM (2004) Bisphosphonates induce apoptosis of stromal tumor cells in giant cell tumor of bone. Calcif Tissue Int 75:71–77PubMedCrossRef Cheng YY, Huang L, Lee KM, Xu JK, Zheng MH, Kumta SM (2004) Bisphosphonates induce apoptosis of stromal tumor cells in giant cell tumor of bone. Calcif Tissue Int 75:71–77PubMedCrossRef
13.
go back to reference Gamberi G, Benassi MS, Ragazzini P, Pazzaglia L, Ponticelli F, Ferrari C, Balladelli A, Mercuri M, Gigli M, Bertoni F, Picci P (2004) Proteases and interleukin-6 gene analysis in 92 giant cell tumors of bone. Ann Oncol 15:498–503PubMedCrossRef Gamberi G, Benassi MS, Ragazzini P, Pazzaglia L, Ponticelli F, Ferrari C, Balladelli A, Mercuri M, Gigli M, Bertoni F, Picci P (2004) Proteases and interleukin-6 gene analysis in 92 giant cell tumors of bone. Ann Oncol 15:498–503PubMedCrossRef
14.
go back to reference Guenther R, Krenn V, Morawietz L, Dankof A, Melcher I, Schaser KD, Kasper HU, Kuban RJ, Ungethum U, Sers C (2005) Giant cell tumors of the bone: molecular profiling and expression analysis of Ephrin A1 receptor, Claudin 7, CD52, FGFR3 and AMFR. Pathol Res Pract 201:649–663PubMedCrossRef Guenther R, Krenn V, Morawietz L, Dankof A, Melcher I, Schaser KD, Kasper HU, Kuban RJ, Ungethum U, Sers C (2005) Giant cell tumors of the bone: molecular profiling and expression analysis of Ephrin A1 receptor, Claudin 7, CD52, FGFR3 and AMFR. Pathol Res Pract 201:649–663PubMedCrossRef
15.
go back to reference Huang L, Xu J, Wood DJ, Zheng MH (2000) Gene expression of osteoprotegerin ligand, osteoprotegerin, and receptor activator of NF-kappaB in giant cell tumor of bone: possible involvement in tumor cell-induced osteoclast-like cell formation. Am J Pathol 156:761–767PubMed Huang L, Xu J, Wood DJ, Zheng MH (2000) Gene expression of osteoprotegerin ligand, osteoprotegerin, and receptor activator of NF-kappaB in giant cell tumor of bone: possible involvement in tumor cell-induced osteoclast-like cell formation. Am J Pathol 156:761–767PubMed
16.
go back to reference Huang L, Teng XY, Cheng YY, Lee KM, Kumta SM (2004) Expression of preosteoblast markers and Cbfa-1 and Osterix gene transcripts in stromal tumour cells of giant cell tumour of bone. Bone 34:393–401PubMedCrossRef Huang L, Teng XY, Cheng YY, Lee KM, Kumta SM (2004) Expression of preosteoblast markers and Cbfa-1 and Osterix gene transcripts in stromal tumour cells of giant cell tumour of bone. Bone 34:393–401PubMedCrossRef
17.
go back to reference James IE, Dodds RA, Olivera DL, Nuttall ME, Gowen M (1996) Human osteoclastoma-derived stromal cells: correlation of the ability to form mineralized nodules in vitro with formation of bone in vivo. J Bone Miner Res 11:1453–1460PubMedCrossRef James IE, Dodds RA, Olivera DL, Nuttall ME, Gowen M (1996) Human osteoclastoma-derived stromal cells: correlation of the ability to form mineralized nodules in vitro with formation of bone in vivo. J Bone Miner Res 11:1453–1460PubMedCrossRef
18.
go back to reference Kandel R, Li SQ, Bell R, Wunder J, Ferguson P, Kauzman A, Diehl JA, Werier J (2006) Cyclin D1 and p21 is elevated in the giant cells of giant cell tumors. J Orthop Res 24:428–437PubMedCrossRef Kandel R, Li SQ, Bell R, Wunder J, Ferguson P, Kauzman A, Diehl JA, Werier J (2006) Cyclin D1 and p21 is elevated in the giant cells of giant cell tumors. J Orthop Res 24:428–437PubMedCrossRef
19.
go back to reference Kartsogiannis V, Zhou H, Horwood NJ, Thomas RJ, Hards DK, Quinn JM, Niforas P, Ng KW, Martin TJ, Gillespie MT (1999) Localization of RANKL (receptor activator of NF kappa B ligand) mRNA and protein in skeletal and extraskeletal tissues. Bone 25:525–534PubMedCrossRef Kartsogiannis V, Zhou H, Horwood NJ, Thomas RJ, Hards DK, Quinn JM, Niforas P, Ng KW, Martin TJ, Gillespie MT (1999) Localization of RANKL (receptor activator of NF kappa B ligand) mRNA and protein in skeletal and extraskeletal tissues. Bone 25:525–534PubMedCrossRef
20.
go back to reference Kauzman A, Li SQ, Bradley G, Bell RS, Wunder JS, Kandel R (2004) Central giant cell granuloma of the jaws: assessment of cell cycle proteins. J Oral Pathol Med 33:170–176PubMedCrossRef Kauzman A, Li SQ, Bradley G, Bell RS, Wunder JS, Kandel R (2004) Central giant cell granuloma of the jaws: assessment of cell cycle proteins. J Oral Pathol Med 33:170–176PubMedCrossRef
21.
go back to reference Kawaguchi K, Oda Y, Saito T, Yamamoto H, Takahira T, Tamiya S, Iwamoto Y, Tsuneyoshi M (2004): Decreased expression of transforming growth factor-beta II receptor is associated with that of p27KIP1 in giant cell tumor of bone: a possible link between transforming growth factor-beta and cell cycle-related protein. Hum Pathol 35:61–68PubMedCrossRef Kawaguchi K, Oda Y, Saito T, Yamamoto H, Takahira T, Tamiya S, Iwamoto Y, Tsuneyoshi M (2004): Decreased expression of transforming growth factor-beta II receptor is associated with that of p27KIP1 in giant cell tumor of bone: a possible link between transforming growth factor-beta and cell cycle-related protein. Hum Pathol 35:61–68PubMedCrossRef
22.
go back to reference Kay RM, Eckardt JJ, Seeger LL, Mirra JM, Hak DJ (1994) Pulmonary metastasis of benign giant cell tumor of bone. Six histologically confirmed cases, including one of spontaneous regression. Clin Orthop Relat Res 302:219–230PubMed Kay RM, Eckardt JJ, Seeger LL, Mirra JM, Hak DJ (1994) Pulmonary metastasis of benign giant cell tumor of bone. Six histologically confirmed cases, including one of spontaneous regression. Clin Orthop Relat Res 302:219–230PubMed
23.
go back to reference Kumta S M, Huang L, Cheng Y Y, Chow L T, Lee K M, Zheng M H (2003): Expression of VEGF and MMP-9 in giant cell tumor of bone and other osteolytic lesions. Life Sci 73:1427–1436PubMedCrossRef Kumta S M, Huang L, Cheng Y Y, Chow L T, Lee K M, Zheng M H (2003): Expression of VEGF and MMP-9 in giant cell tumor of bone and other osteolytic lesions. Life Sci 73:1427–1436PubMedCrossRef
24.
go back to reference Lau YS, Sabokbar A, Gibbons CL, Giele H, Athanasou N (2005) Phenotypic and molecular studies of giant-cell tumors of bone and soft tissue. Hum Pathol 36:945–954PubMedCrossRef Lau YS, Sabokbar A, Gibbons CL, Giele H, Athanasou N (2005) Phenotypic and molecular studies of giant-cell tumors of bone and soft tissue. Hum Pathol 36:945–954PubMedCrossRef
25.
go back to reference Liao TS, Yurgelun MB, Chang SS, Zhang HZ, Murakami K, Blaine TA, Parisien MV, Kim W, Winchester RJ, Lee FY (2005) Recruitment of osteoclast precursors by stromal cell derived factor-1 (SDF-1) in giant cell tumor of bone. J Orthop Res 23:203–209PubMedCrossRef Liao TS, Yurgelun MB, Chang SS, Zhang HZ, Murakami K, Blaine TA, Parisien MV, Kim W, Winchester RJ, Lee FY (2005) Recruitment of osteoclast precursors by stromal cell derived factor-1 (SDF-1) in giant cell tumor of bone. J Orthop Res 23:203–209PubMedCrossRef
26.
go back to reference Mankin HJ, Connor JF, Schiller AL, Perlmutter N, Alho A, McGuire M (1985) Grading of bone tumors by analysis of nuclear DNA content using flow cytometry. J Bone Joint Surg Am 67:404–413PubMed Mankin HJ, Connor JF, Schiller AL, Perlmutter N, Alho A, McGuire M (1985) Grading of bone tumors by analysis of nuclear DNA content using flow cytometry. J Bone Joint Surg Am 67:404–413PubMed
27.
go back to reference Marui T, Yamamoto T, Yoshihara H, Kurosaka M, Mizuno K, Akamatsu T (2001) De novo malignant transformation of giant cell tumor of bone. Skeletal Radiol 30:104–108PubMedCrossRef Marui T, Yamamoto T, Yoshihara H, Kurosaka M, Mizuno K, Akamatsu T (2001) De novo malignant transformation of giant cell tumor of bone. Skeletal Radiol 30:104–108PubMedCrossRef
28.
go back to reference Masui F, Ushigome S, Fujii K (1998) Giant cell tumor of bone: a clinicopathologic study of prognostic factors. Pathol Int 48:723–729PubMedCrossRef Masui F, Ushigome S, Fujii K (1998) Giant cell tumor of bone: a clinicopathologic study of prognostic factors. Pathol Int 48:723–729PubMedCrossRef
29.
go back to reference McComb EN, Johansson SL, Neff JR, Nelson M, Bridge JA (1996) Chromosomal anomalies exclusive of telomeric associations in giant cell tumor of bone. Cancer Genet Cytogenet 88:163–166PubMedCrossRef McComb EN, Johansson SL, Neff JR, Nelson M, Bridge JA (1996) Chromosomal anomalies exclusive of telomeric associations in giant cell tumor of bone. Cancer Genet Cytogenet 88:163–166PubMedCrossRef
30.
go back to reference Montero O, Salle MT, Guevara R, Olivera P, Maldonado V, Melendez-Zajgla J (2003) Cytogenetic analysis of the mononuclear cell component of giant cell tumors of bone. Cancer Genet Cytogenet 146:170–172PubMedCrossRef Montero O, Salle MT, Guevara R, Olivera P, Maldonado V, Melendez-Zajgla J (2003) Cytogenetic analysis of the mononuclear cell component of giant cell tumors of bone. Cancer Genet Cytogenet 146:170–172PubMedCrossRef
31.
go back to reference Morgan T, Atkins GJ, Trivett MK, Johnson SA, Kansara M, Schlicht SL, Slavin JL, Simmons P, Dickinson I, Powell G, Choong PF, Holloway AJ, Thomas DM (2005) Molecular profiling of giant cell tumor of bone and the osteoclastic localization of ligand for receptor activator of nuclear factor {kappa}B. Am J Pathol 167:117–128PubMed Morgan T, Atkins GJ, Trivett MK, Johnson SA, Kansara M, Schlicht SL, Slavin JL, Simmons P, Dickinson I, Powell G, Choong PF, Holloway AJ, Thomas DM (2005) Molecular profiling of giant cell tumor of bone and the osteoclastic localization of ligand for receptor activator of nuclear factor {kappa}B. Am J Pathol 167:117–128PubMed
32.
go back to reference Mori Y, Tsuchiya H, Karita M, Nonomura A, Nojima T, Tomita K (2000) Malignant transformation of a giant cell tumor 25 years after initial treatment. Clin Orthop 185–191 Mori Y, Tsuchiya H, Karita M, Nonomura A, Nojima T, Tomita K (2000) Malignant transformation of a giant cell tumor 25 years after initial treatment. Clin Orthop 185–191
33.
go back to reference Murata A, Fujita T, Kawahara N, Tsuchiya H, Tomita K (2005) Osteoblast lineage properties in giant cell tumors of bone. J Orthop Sci 10:581–588PubMedCrossRef Murata A, Fujita T, Kawahara N, Tsuchiya H, Tomita K (2005) Osteoblast lineage properties in giant cell tumors of bone. J Orthop Sci 10:581–588PubMedCrossRef
34.
go back to reference Murata H, Kusuzaki K, Takeshita H, Hirata M, Hashiguchi S, Ashihara T, Hirasawa Y (1999) Cytofluorometric DNA ploidy analysis in giant cell tumor of bone: histologic and prognostic value. Cancer Lett 136:223–229PubMedCrossRef Murata H, Kusuzaki K, Takeshita H, Hirata M, Hashiguchi S, Ashihara T, Hirasawa Y (1999) Cytofluorometric DNA ploidy analysis in giant cell tumor of bone: histologic and prognostic value. Cancer Lett 136:223–229PubMedCrossRef
35.
go back to reference Nascimento AG, Huvos AG, Marcove RC (1979) Primary malignant giant cell tumor of bone: a study of eight cases and review of the literature. Cancer 44:1393–1402PubMedCrossRef Nascimento AG, Huvos AG, Marcove RC (1979) Primary malignant giant cell tumor of bone: a study of eight cases and review of the literature. Cancer 44:1393–1402PubMedCrossRef
36.
go back to reference Nishimura M, Yuasa K, Mori K, Miyamoto N, Ito M, Tsurudome M, Nishio M, Kawano M, Komada H, Uchida A, Ito Y (2005) Cytological properties of stromal cells derived from giant cell tumor of bone (GCTSC) which can induce osteoclast formation of human blood monocytes without cell to cell contact. J Orthop Res 23:979–987PubMedCrossRef Nishimura M, Yuasa K, Mori K, Miyamoto N, Ito M, Tsurudome M, Nishio M, Kawano M, Komada H, Uchida A, Ito Y (2005) Cytological properties of stromal cells derived from giant cell tumor of bone (GCTSC) which can induce osteoclast formation of human blood monocytes without cell to cell contact. J Orthop Res 23:979–987PubMedCrossRef
37.
go back to reference Noguera R, Llombart-Bosch A, Lopez-Gines C, Carda C, Fernandes C I (1989) Giant-cell tumor of bone, stage II, displaying translocation t(12;19)(q13;q13). Virchows Arch A Pathol Anat Histopathol 415:377–382PubMedCrossRef Noguera R, Llombart-Bosch A, Lopez-Gines C, Carda C, Fernandes C I (1989) Giant-cell tumor of bone, stage II, displaying translocation t(12;19)(q13;q13). Virchows Arch A Pathol Anat Histopathol 415:377–382PubMedCrossRef
38.
go back to reference Oda Y, Walter H, Radig K, Rose I, Neumann W, Roessner A (1995) Immunohistochemical analysis of nm23 protein expression in malignant bone tumors. J Cancer Res Clin Oncol 121:667–673PubMedCrossRef Oda Y, Walter H, Radig K, Rose I, Neumann W, Roessner A (1995) Immunohistochemical analysis of nm23 protein expression in malignant bone tumors. J Cancer Res Clin Oncol 121:667–673PubMedCrossRef
39.
go back to reference Ohsaki Y, Takahashi S, Scarcez T, Demulder A, Nishihara T, Williams R, Roodman GD (1992) Evidence for an autocrine/paracrine role for interleukin-6 in bone resorption by giant cells from giant cell tumors of bone. Endocrinology 131:2229–2234PubMedCrossRef Ohsaki Y, Takahashi S, Scarcez T, Demulder A, Nishihara T, Williams R, Roodman GD (1992) Evidence for an autocrine/paracrine role for interleukin-6 in bone resorption by giant cells from giant cell tumors of bone. Endocrinology 131:2229–2234PubMedCrossRef
40.
go back to reference Riminucci M, Kuznetsov SA, Cherman N, Corsi A, Bianco P, Gehron RP (2003) Osteoclastogenesis in fibrous dysplasia of bone: in situ and in vitro analysis of IL-6 expression. Bone 33:434–442PubMedCrossRef Riminucci M, Kuznetsov SA, Cherman N, Corsi A, Bianco P, Gehron RP (2003) Osteoclastogenesis in fibrous dysplasia of bone: in situ and in vitro analysis of IL-6 expression. Bone 33:434–442PubMedCrossRef
41.
go back to reference Robinson D, Segal M, Nevo Z (2002) Giant cell tumor of bone the role of fibroblast growth factor 3 positive mesenchymal stem cells in its pathogenesis. Pathobiology 70:333–342PubMedCrossRef Robinson D, Segal M, Nevo Z (2002) Giant cell tumor of bone the role of fibroblast growth factor 3 positive mesenchymal stem cells in its pathogenesis. Pathobiology 70:333–342PubMedCrossRef
42.
go back to reference Rock MG, Sim FH, Unni KK, Witrak GA, Frassica FJ, Schray MF, Beabout JW, Dahlin DC (1986) Secondary malignant giant-cell tumor of bone clinicopathological assessment of nineteen patients. J Bone Joint Surg Am 68:1073–1079PubMed Rock MG, Sim FH, Unni KK, Witrak GA, Frassica FJ, Schray MF, Beabout JW, Dahlin DC (1986) Secondary malignant giant-cell tumor of bone clinicopathological assessment of nineteen patients. J Bone Joint Surg Am 68:1073–1079PubMed
43.
go back to reference Roux S, Amazit L, Meduri G, Guiochon-Mantel A, Milgrom E, Mariette X (2002):RANK (receptor activator of nuclear factor kappa B) and RANK ligand are expressed in giant cell tumors of bone. Am J Clin Pathol 117:210–216PubMedCrossRef Roux S, Amazit L, Meduri G, Guiochon-Mantel A, Milgrom E, Mariette X (2002):RANK (receptor activator of nuclear factor kappa B) and RANK ligand are expressed in giant cell tumors of bone. Am J Clin Pathol 117:210–216PubMedCrossRef
44.
go back to reference Sara AS, Ayala AG, el Naggar A, Ro JY, Raymond AK, Murray JA (1990) Giant cell tumor of bone a clinicopathologic and DNA flow cytometric analysis. Cancer 66:2186–2190PubMedCrossRef Sara AS, Ayala AG, el Naggar A, Ro JY, Raymond AK, Murray JA (1990) Giant cell tumor of bone a clinicopathologic and DNA flow cytometric analysis. Cancer 66:2186–2190PubMedCrossRef
45.
go back to reference Sawyer JR, Goosen LS, Binz RL, Swanson CM, Nicholas RW (2005) Evidence for telomeric fusions as a mechanism for recurring structural aberrations of chromosome 11 in giant cell tumor of bone. Cancer Genet Cytogenet 159:32–36PubMedCrossRef Sawyer JR, Goosen LS, Binz RL, Swanson CM, Nicholas RW (2005) Evidence for telomeric fusions as a mechanism for recurring structural aberrations of chromosome 11 in giant cell tumor of bone. Cancer Genet Cytogenet 159:32–36PubMedCrossRef
46.
go back to reference Schwartz HS, Butler MG, Jenkins RB, Miller DA, Moses HL (1991) Telomeric associations and consistent growth factor overexpression detected in giant cell tumor of bone. Cancer Genet Cytogenet 56:263–276PubMedCrossRef Schwartz HS, Butler MG, Jenkins RB, Miller DA, Moses HL (1991) Telomeric associations and consistent growth factor overexpression detected in giant cell tumor of bone. Cancer Genet Cytogenet 56:263–276PubMedCrossRef
47.
go back to reference Schwartz HS, Dahir GA, Butler MG (1993) Telomere reduction in giant cell tumor of bone and with aging. Cancer Genet Cytogenet 71:132–138PubMedCrossRef Schwartz HS, Dahir GA, Butler MG (1993) Telomere reduction in giant cell tumor of bone and with aging. Cancer Genet Cytogenet 71:132–138PubMedCrossRef
48.
go back to reference Schwartz HS, Jenkins RB, Dahl R, Dewald GW (1989) Cytogenetic analyses in giant-cell tumors of bone. Clin Orthop 240:250–260PubMed Schwartz HS, Jenkins RB, Dahl R, Dewald GW (1989) Cytogenetic analyses in giant-cell tumors of bone. Clin Orthop 240:250–260PubMed
49.
go back to reference Schwartz HS, Juliao SF, Sciadini MF, Miller LK, Butler MG (1995) Telomerase activity and oncogenesis in giant cell tumor of bone. Cancer 75:1094–1099PubMedCrossRef Schwartz HS, Juliao SF, Sciadini MF, Miller LK, Butler MG (1995) Telomerase activity and oncogenesis in giant cell tumor of bone. Cancer 75:1094–1099PubMedCrossRef
50.
go back to reference Simonet WS, Lacey DL, Dunstan CR, Kelley M, Chang MS, Luthy R, Nguyen HQ, Wooden S, Bennett L, Boone T, Shimamoto G, DeRose M, Elliott R, Colombero A, Tan HL, Trail G, Sullivan J, Davy E, Bucay N, Renshaw-Gegg L, Hughes TM, Hill D, Pattison W, Campbell P, Sander S, Van G, Tarpley J, Derby P, Lee R, Boyle WJ (1997) Osteoprotegerin: a novel secreted protein involved in the regulation of bone density. Cell 89:309–319PubMedCrossRef Simonet WS, Lacey DL, Dunstan CR, Kelley M, Chang MS, Luthy R, Nguyen HQ, Wooden S, Bennett L, Boone T, Shimamoto G, DeRose M, Elliott R, Colombero A, Tan HL, Trail G, Sullivan J, Davy E, Bucay N, Renshaw-Gegg L, Hughes TM, Hill D, Pattison W, Campbell P, Sander S, Van G, Tarpley J, Derby P, Lee R, Boyle WJ (1997) Osteoprotegerin: a novel secreted protein involved in the regulation of bone density. Cell 89:309–319PubMedCrossRef
51.
go back to reference Skubitz KM, Cheng EY, Clohisy DR, Thompson RC, Skubitz AP (2004) Gene expression in giant-cell tumors. J Lab Clin Med 144:193–200PubMedCrossRef Skubitz KM, Cheng EY, Clohisy DR, Thompson RC, Skubitz AP (2004) Gene expression in giant-cell tumors. J Lab Clin Med 144:193–200PubMedCrossRef
52.
go back to reference Sunters A, McCluskey J, Grigoriadis AE (1998) Control of cell cycle gene expression in bone development and during c-Fos-induced osteosarcoma formation. Dev Genet 22:386–397PubMedCrossRef Sunters A, McCluskey J, Grigoriadis AE (1998) Control of cell cycle gene expression in bone development and during c-Fos-induced osteosarcoma formation. Dev Genet 22:386–397PubMedCrossRef
53.
go back to reference Teot LA, O'Keefe RJ, Rosier RN, O'Connell JX, Fox EJ, Hicks DG (1996) Extraosseous primary and recurrent giant cell tumors: Transforming growth factor-b1 and-b2 expression may explain metaplastic bone formation. Hum Pathol 27:625–632PubMedCrossRef Teot LA, O'Keefe RJ, Rosier RN, O'Connell JX, Fox EJ, Hicks DG (1996) Extraosseous primary and recurrent giant cell tumors: Transforming growth factor-b1 and-b2 expression may explain metaplastic bone formation. Hum Pathol 27:625–632PubMedCrossRef
54.
go back to reference Tubbs WS, Brown LR, Beabout JW, Rock MG, Unni KK (1992) Benign giant-cell tumor of bone with pulmonary metastases: clinical findings and radiologic appearance of metastases in 13 cases. AJR Am J Roentgenol 158:331–334PubMed Tubbs WS, Brown LR, Beabout JW, Rock MG, Unni KK (1992) Benign giant-cell tumor of bone with pulmonary metastases: clinical findings and radiologic appearance of metastases in 13 cases. AJR Am J Roentgenol 158:331–334PubMed
55.
go back to reference Turcotte RE, Wunder JS, Isler MH, Bell RS, Schachar N, Masri BA, Moreau G, Davis AM (2002) Giant cell tumor of long bone: a Canadian Sarcoma Group study. Clin Orthop 397:248–258PubMed Turcotte RE, Wunder JS, Isler MH, Bell RS, Schachar N, Masri BA, Moreau G, Davis AM (2002) Giant cell tumor of long bone: a Canadian Sarcoma Group study. Clin Orthop 397:248–258PubMed
56.
go back to reference Wülling M, Delling G, Kaiser E (2003) The origin of the neoplastic stromal cell in giant cell tumor of bone. Hum Pathol 34:983–993PubMedCrossRef Wülling M, Delling G, Kaiser E (2003) The origin of the neoplastic stromal cell in giant cell tumor of bone. Hum Pathol 34:983–993PubMedCrossRef
57.
go back to reference Wülling M, Delling G, Kaiser E (2004) Differential gene expression in stromal cells of human giant cell tumor of bone. Virchows Arch 445:621–630CrossRef Wülling M, Delling G, Kaiser E (2004) Differential gene expression in stromal cells of human giant cell tumor of bone. Virchows Arch 445:621–630CrossRef
58.
go back to reference Yasuda H, Shima N, Nakagawa N, Yamaguchi K, Kinosaki M, Mochizuki S, Tomoyasu A, Yano K, Goto M, Murakami A, Tsuda E, Morinaga T, Higashio K, Udagawa N, Takahashi N, Suda T (1998) Osteoclast differentiation factor is a ligand for osteoprotegerin/osteoclastogenesis-inhibitory factor and is identical to TRANCE/RANKL. Proc Natl Acad Sci USA 95:3597–3602PubMedCrossRef Yasuda H, Shima N, Nakagawa N, Yamaguchi K, Kinosaki M, Mochizuki S, Tomoyasu A, Yano K, Goto M, Murakami A, Tsuda E, Morinaga T, Higashio K, Udagawa N, Takahashi N, Suda T (1998) Osteoclast differentiation factor is a ligand for osteoprotegerin/osteoclastogenesis-inhibitory factor and is identical to TRANCE/RANKL. Proc Natl Acad Sci USA 95:3597–3602PubMedCrossRef
59.
go back to reference Zheng MH, Fan Y, Panicker A, Smith A, Robertson T, Wysocki S, Robbins P, Papadimitriou JM, Wood DJ (1995) Detection of mRNAs for urokinase-type plasminogen activator, its receptor, and type 1 inhibitor in giant cell tumors of bone with in situ hybridization. Am J Pathol 147:1559–1566PubMed Zheng MH, Fan Y, Panicker A, Smith A, Robertson T, Wysocki S, Robbins P, Papadimitriou JM, Wood DJ (1995) Detection of mRNAs for urokinase-type plasminogen activator, its receptor, and type 1 inhibitor in giant cell tumors of bone with in situ hybridization. Am J Pathol 147:1559–1566PubMed
60.
go back to reference Zhu XL, Hartwick W, Rohan T, Kandel R (1998) Cyclin D1 gene amplification and protein expression in benign breast disease and breast carcinoma. Mod Pathol 11:1082–1088PubMed Zhu XL, Hartwick W, Rohan T, Kandel R (1998) Cyclin D1 gene amplification and protein expression in benign breast disease and breast carcinoma. Mod Pathol 11:1082–1088PubMed
Metadata
Title
Giant cell tumour of bone: morphological, biological and histogenetical aspects
Author
Mathias Werner
Publication date
01-12-2006
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 6/2006
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-006-0215-7

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