Aggressive Osteoclastoma of Sphenoid Sinus: A Rare Surgical Case Report

The giant cell tumor (GCT) or osteoclastoma is considered to be a locally aggressive benign tumor. The GCTs of the cranium represent only 1% of all GCTs and preferentially affect the sphenoid and temporal bones. We report a case of an 18-year-old male who presented with headache and diplopia. Radiological investigation shows a destructive midline mass involving the body of the sphenoid. The tumor was debulked endoscopically and histopathology reported as osteoclastoma of sphenoid sinus. Radiotherapy and zoledronate was given. We report this case due to its extreme aggressive nature of growth, which is a challenge to treat, and unique presentation in teenaged male, which is rare.