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MI, a 35 year old man was referred to us with polyuria, polydyopsia, severe backache, difficulty in walking, vomiting and a swelling in the left upper molar region. Previously he was operated for left sided renal stone at Saidu Hospital Swat in 1985. Then he developed a swelling in the left lower molar region in 1986. Biopsy revealed giant cell reparative granuloma. A year later, he developed a hard painful lesion near the upper end of the left tibia. Biopsy showed giant cell lesion. In March 1990, he developed another swelling in the left upper molar region. Biopsy again revealed giant cell reparative granuloma. He also has a positive history of lipomas in the family.
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