Characteristics | PDB with GCT | PDB | GCT |
---|---|---|---|
Male: Female | 2.1 | 1.2 | F>M |
Age of onset | >50 | >60 | 20 |
Prevalence of polyostotic disease | 93% | 63% | Rare |
Cardiovascular complications | More | Less | NA |
Average number of affected sites | 6.1±2.9 | 2.34±1.6 | Single location in epiphysis of mature skeleton |
Mortality rate (5 years) | 50% | 0-5% | Rarely due to disease |
Response to antiresorptive therapy (bisphosphonates) | Poor | Good | Surgery is standard of treatment |
Alkaline phosphatase | Elevated in almost 100% suggestive of active PDB | Elevated in active PDB | Normal |
PDB: Paget’s disease of bone, GCT: Giant cell tumor