This is clinical photograph of a 24 years old male farmer who presented after 8  months of beginning of pain and 5 months of progressively increasing swelling.

The xray suggested a giant cell tumor like picture involving radius along with breach of the cortices. The diagnosis was confirmed by FNAC and a biopsy was planned.

The patient was explained the disease and the treatment after biopsy which was a choice between limb salvage surgery and amputation owing to advanced stage of disease.

Patient wanted some time to think over the issue and discuss with family. He never reported back.