Ewing sarcoma - femur

Case contributed by Samir Benoudina

Diagnosis certain

Citation, DOI, disclosures and case data

Citation:

Benoudina S, Ewing sarcoma - femur. Case study, Radiopaedia.org (Accessed on 07 Dec 2023) https://doi.org/10.53347/rID-84751

DOI:

https://doi.org/10.53347/rID-84751

Permalink:

https://radiopaedia.org/cases/84751

rID:

84751

Disclosures:

At the time the case was submitted for publication Samir Benoudina had no recorded disclosures.

View Samir Benoudina's current disclosures

Case published:

4 Dec 2020

Revisions:

3 times, by 3 contributors - see full revision history and disclosures

Systems:

Musculoskeletal, Paediatrics, Oncology

Institution:

Clinique Les Babors - SETIF - Algeria

Quiz mode:

Included

Presentation

Atraumatic pain, swelling of left thigh since 2 months. Reduced range of motion of the knee.

Patient Data

Age: 16 years

Gender: Male

From the case: Ewing sarcoma - femur

x-ray

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\u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Contemporary\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Elegant\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Professional\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Subtle 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Subtle 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Web 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Web 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Web 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Balloon Text\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"39\" Name=\"Table Grid\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Theme\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" Name=\"Placeholder Text\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"1\" QFormat=\"true\" Name=\"No Spacing\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"60\" Name=\"Light Shading\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"61\" Name=\"Light List\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"62\" Name=\"Light Grid\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"63\" Name=\"Medium Shading 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"64\" Name=\"Medium Shading 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"65\" Name=\"Medium List 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"66\" Name=\"Medium List 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"67\" Name=\"Medium Grid 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"68\" Name=\"Medium Grid 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"69\" Name=\"Medium Grid 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"70\" Name=\"Dark List\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"71\" Name=\"Colorful Shading\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"72\" Name=\"Colorful List\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"73\" Name=\"Colorful Grid\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"60\" Name=\"Light Shading Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"61\" Name=\"Light List Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"62\" Name=\"Light Grid Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"63\" Name=\"Medium Shading 1 Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"64\" Name=\"Medium Shading 2 Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"65\" Name=\"Medium List 1 Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" Name=\"Revision\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"34\" QFormat=\"true\"\n Name=\"List Paragraph\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"29\" QFormat=\"true\" Name=\"Quote\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"30\" QFormat=\"true\"\n Name=\"Intense Quote\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"66\" Name=\"Medium List 2 Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"67\" Name=\"Medium Grid 1 Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"68\" Name=\"Medium Grid 2 Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"69\" Name=\"Medium Grid 3 Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"70\" Name=\"Dark List Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"71\" Name=\"Colorful Shading Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"72\" Name=\"Colorful List Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"73\" Name=\"Colorful Grid Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"60\" Name=\"Light Shading Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"61\" Name=\"Light List Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"62\" Name=\"Light Grid Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"63\" Name=\"Medium Shading 1 Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"64\" Name=\"Medium Shading 2 Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"65\" Name=\"Medium List 1 Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"66\" Name=\"Medium List 2 Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"67\" Name=\"Medium Grid 1 Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"68\" Name=\"Medium Grid 2 Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"69\" Name=\"Medium Grid 3 Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"70\" Name=\"Dark List Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"71\" Name=\"Colorful Shading Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"72\" Name=\"Colorful List Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"73\" Name=\"Colorful Grid Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"60\" Name=\"Light Shading Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"61\" Name=\"Light List Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"62\" Name=\"Light Grid Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"63\" Name=\"Medium Shading 1 Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"64\" Name=\"Medium Shading 2 Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"65\" Name=\"Medium List 1 Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"66\" Name=\"Medium List 2 Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"67\" Name=\"Medium Grid 1 Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"68\" Name=\"Medium Grid 2 Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"69\" Name=\"Medium Grid 3 Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"70\" Name=\"Dark List Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"71\" Name=\"Colorful Shading Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"72\" Name=\"Colorful List Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"73\" Name=\"Colorful Grid Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"60\" Name=\"Light Shading Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"61\" Name=\"Light List Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"62\" Name=\"Light Grid Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"63\" Name=\"Medium Shading 1 Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"64\" Name=\"Medium Shading 2 Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"65\" Name=\"Medium List 1 Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"66\" Name=\"Medium List 2 Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"67\" Name=\"Medium Grid 1 Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"68\" Name=\"Medium Grid 2 Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"69\" Name=\"Medium Grid 3 Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"70\" Name=\"Dark List Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"71\" Name=\"Colorful Shading Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"72\" Name=\"Colorful List Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"73\" Name=\"Colorful Grid Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"60\" Name=\"Light Shading Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"61\" Name=\"Light List Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"62\" Name=\"Light Grid Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"63\" Name=\"Medium Shading 1 Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"64\" Name=\"Medium Shading 2 Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"65\" Name=\"Medium List 1 Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"66\" Name=\"Medium List 2 Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"67\" Name=\"Medium Grid 1 Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"68\" Name=\"Medium Grid 2 Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"69\" Name=\"Medium Grid 3 Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"70\" Name=\"Dark List Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"71\" Name=\"Colorful Shading Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"72\" Name=\"Colorful List Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"73\" Name=\"Colorful Grid Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"60\" Name=\"Light Shading Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"61\" Name=\"Light List Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"62\" Name=\"Light Grid Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"63\" Name=\"Medium Shading 1 Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"64\" Name=\"Medium Shading 2 Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"65\" Name=\"Medium List 1 Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"66\" Name=\"Medium List 2 Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"67\" Name=\"Medium Grid 1 Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"68\" Name=\"Medium Grid 2 Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"69\" Name=\"Medium Grid 3 Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"70\" Name=\"Dark List Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"71\" Name=\"Colorful Shading Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"72\" Name=\"Colorful List Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"73\" Name=\"Colorful Grid Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"19\" QFormat=\"true\"\n Name=\"Subtle Emphasis\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"21\" QFormat=\"true\"\n Name=\"Intense Emphasis\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"31\" QFormat=\"true\"\n Name=\"Subtle Reference\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"32\" QFormat=\"true\"\n Name=\"Intense Reference\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"33\" QFormat=\"true\" Name=\"Book Title\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"37\" SemiHidden=\"true\"\n UnhideWhenUsed=\"true\" Name=\"Bibliography\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"39\" SemiHidden=\"true\"\n UnhideWhenUsed=\"true\" QFormat=\"true\" Name=\"TOC Heading\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"41\" Name=\"Plain Table 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"42\" Name=\"Plain Table 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"43\" Name=\"Plain Table 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"44\" Name=\"Plain Table 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"45\" Name=\"Plain Table 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"40\" Name=\"Grid Table Light\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"46\" Name=\"Grid Table 1 Light\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"47\" Name=\"Grid Table 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"48\" Name=\"Grid Table 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"49\" Name=\"Grid Table 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"50\" Name=\"Grid Table 5 Dark\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"51\" Name=\"Grid Table 6 Colorful\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"52\" Name=\"Grid Table 7 Colorful\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"46\"\n Name=\"Grid Table 1 Light Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"47\" Name=\"Grid Table 2 Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"48\" Name=\"Grid Table 3 Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"49\" Name=\"Grid Table 4 Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"50\" Name=\"Grid Table 5 Dark Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"51\"\n Name=\"Grid Table 6 Colorful Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"52\"\n Name=\"Grid Table 7 Colorful Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"46\"\n Name=\"Grid Table 1 Light Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"47\" Name=\"Grid Table 2 Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"48\" Name=\"Grid Table 3 Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"49\" Name=\"Grid Table 4 Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"50\" Name=\"Grid Table 5 Dark Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"51\"\n Name=\"Grid Table 6 Colorful Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"52\"\n Name=\"Grid Table 7 Colorful Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"46\"\n Name=\"Grid Table 1 Light Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"47\" Name=\"Grid Table 2 Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"48\" Name=\"Grid Table 3 Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"49\" Name=\"Grid Table 4 Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"50\" Name=\"Grid Table 5 Dark Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"51\"\n Name=\"Grid Table 6 Colorful Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"52\"\n Name=\"Grid Table 7 Colorful Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"46\"\n Name=\"Grid Table 1 Light Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"47\" Name=\"Grid Table 2 Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"48\" Name=\"Grid Table 3 Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"49\" Name=\"Grid Table 4 Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"50\" Name=\"Grid Table 5 Dark Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"51\"\n Name=\"Grid Table 6 Colorful Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"52\"\n Name=\"Grid Table 7 Colorful Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"46\"\n Name=\"Grid Table 1 Light Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"47\" Name=\"Grid Table 2 Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"48\" Name=\"Grid Table 3 Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"49\" Name=\"Grid Table 4 Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"50\" Name=\"Grid Table 5 Dark Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"51\"\n Name=\"Grid Table 6 Colorful Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"52\"\n Name=\"Grid Table 7 Colorful Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"46\"\n Name=\"Grid Table 1 Light Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"47\" Name=\"Grid Table 2 Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"48\" Name=\"Grid Table 3 Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"49\" Name=\"Grid Table 4 Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"50\" Name=\"Grid Table 5 Dark Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"51\"\n Name=\"Grid Table 6 Colorful Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"52\"\n Name=\"Grid Table 7 Colorful Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"46\" Name=\"List Table 1 Light\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"47\" Name=\"List Table 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"48\" Name=\"List Table 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"49\" Name=\"List Table 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"50\" Name=\"List Table 5 Dark\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"51\" Name=\"List Table 6 Colorful\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"52\" Name=\"List Table 7 Colorful\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"46\"\n Name=\"List Table 1 Light Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"47\" Name=\"List Table 2 Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"48\" Name=\"List Table 3 Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"49\" Name=\"List Table 4 Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"50\" Name=\"List Table 5 Dark Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"51\"\n Name=\"List Table 6 Colorful Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"52\"\n Name=\"List Table 7 Colorful Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"46\"\n Name=\"List Table 1 Light Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"47\" Name=\"List Table 2 Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"48\" Name=\"List Table 3 Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"49\" Name=\"List Table 4 Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"50\" Name=\"List Table 5 Dark Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"51\"\n Name=\"List Table 6 Colorful Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"52\"\n Name=\"List Table 7 Colorful Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"46\"\n Name=\"List Table 1 Light Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"47\" Name=\"List Table 2 Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"48\" Name=\"List Table 3 Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"49\" Name=\"List Table 4 Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"50\" Name=\"List Table 5 Dark Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"51\"\n Name=\"List Table 6 Colorful Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"52\"\n Name=\"List Table 7 Colorful Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"46\"\n Name=\"List Table 1 Light Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"47\" Name=\"List Table 2 Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"48\" Name=\"List Table 3 Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"49\" Name=\"List Table 4 Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"50\" Name=\"List Table 5 Dark Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"51\"\n Name=\"List Table 6 Colorful Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"52\"\n Name=\"List Table 7 Colorful Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"46\"\n Name=\"List Table 1 Light Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"47\" Name=\"List Table 2 Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"48\" Name=\"List Table 3 Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"49\" Name=\"List Table 4 Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"50\" Name=\"List Table 5 Dark Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"51\"\n Name=\"List Table 6 Colorful Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"52\"\n Name=\"List Table 7 Colorful Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"46\"\n Name=\"List Table 1 Light Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"47\" Name=\"List Table 2 Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"48\" Name=\"List Table 3 Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"49\" Name=\"List Table 4 Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"50\" Name=\"List Table 5 Dark Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"51\"\n Name=\"List Table 6 Colorful Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"52\"\n Name=\"List Table 7 Colorful Accent 6\"/\u003e\n \u003c/w:LatentStyles\u003e\n\u003c/xml\u003e\u003c![endif]--\u003e\u003c!--[if gte mso 10]\u003e\n\u003cstyle\u003e\n /* Style Definitions */\n table.MsoNormalTable\n\t{mso-style-name:\"Tableau Normal\";\n\tmso-tstyle-rowband-size:0;\n\tmso-tstyle-colband-size:0;\n\tmso-style-noshow:yes;\n\tmso-style-priority:99;\n\tmso-style-parent:\"\";\n\tmso-padding-alt:0cm 5.4pt 0cm 5.4pt;\n\tmso-para-margin-top:0cm;\n\tmso-para-margin-right:0cm;\n\tmso-para-margin-bottom:8.0pt;\n\tmso-para-margin-left:0cm;\n\tline-height:107%;\n\tmso-pagination:widow-orphan;\n\tfont-size:11.0pt;\n\tfont-family:\"Calibri\",\"sans-serif\";\n\tmso-ascii-font-family:Calibri;\n\tmso-ascii-theme-font:minor-latin;\n\tmso-hansi-font-family:Calibri;\n\tmso-hansi-theme-font:minor-latin;\n\tmso-bidi-font-family:Arial;\n\tmso-bidi-theme-font:minor-bidi;\n\tmso-fareast-language:EN-US;}\n\u003c/style\u003e\n\u003c![endif]--\u003eThere is a lesion located in the distal femur with typical aggressive features of a malignant tumor with:\u003c/p\u003e\u003cul\u003e\n\u003cli\u003eirregular and partial destruction of cortical bone\u003c/li\u003e\n\u003cli\u003e\nperiosteal reaction with Codman triangle formation\u003c/li\u003e\n\u003cli\u003eindistinct zone of transition\u003c/li\u003e\n\u003cli\u003eperpendicular spiculations producing a sunburst appearance\n\u003c/li\u003e\n\u003cli\u003eassociated large soft tissue swelling\u003c/li\u003e\n\u003c/ul\u003e\u003cp\u003eHistologically proven Ewing sarcoma.\u003c/p\u003e","gb":"\u003cp\u003e\u003c!--[if gte mso 9]\u003e\u003cxml\u003e\n \u003co:OfficeDocumentSettings\u003e\n \u003co:RelyOnVML/\u003e\n \u003co:AllowPNG/\u003e\n \u003c/o:OfficeDocumentSettings\u003e\n\u003c/xml\u003e\u003c![endif]--\u003e\u003c!--[if gte mso 9]\u003e\u003cxml\u003e\n \u003cw:WordDocument\u003e\n \u003cw:View\u003eNormal\u003c/w:View\u003e\n \u003cw:Zoom\u003e0\u003c/w:Zoom\u003e\n \u003cw:TrackMoves/\u003e\n \u003cw:TrackFormatting/\u003e\n \u003cw:HyphenationZone\u003e21\u003c/w:HyphenationZone\u003e\n \u003cw:PunctuationKerning/\u003e\n \u003cw:ValidateAgainstSchemas/\u003e\n \u003cw:SaveIfXMLInvalid\u003efalse\u003c/w:SaveIfXMLInvalid\u003e\n \u003cw:IgnoreMixedContent\u003efalse\u003c/w:IgnoreMixedContent\u003e\n \u003cw:AlwaysShowPlaceholderText\u003efalse\u003c/w:AlwaysShowPlaceholderText\u003e\n \u003cw:DoNotPromoteQF/\u003e\n \u003cw:LidThemeOther\u003eFR\u003c/w:LidThemeOther\u003e\n \u003cw:LidThemeAsian\u003eX-NONE\u003c/w:LidThemeAsian\u003e\n \u003cw:LidThemeComplexScript\u003eAR-SA\u003c/w:LidThemeComplexScript\u003e\n \u003cw:Compatibility\u003e\n \u003cw:BreakWrappedTables/\u003e\n \u003cw:SnapToGridInCell/\u003e\n \u003cw:WrapTextWithPunct/\u003e\n \u003cw:UseAsianBreakRules/\u003e\n \u003cw:DontGrowAutofit/\u003e\n \u003cw:SplitPgBreakAndParaMark/\u003e\n \u003cw:EnableOpenTypeKerning/\u003e\n \u003cw:DontFlipMirrorIndents/\u003e\n \u003cw:OverrideTableStyleHps/\u003e\n \u003c/w:Compatibility\u003e\n \u003cm:mathPr\u003e\n \u003cm:mathFont m:val=\"Cambria Math\"/\u003e\n \u003cm:brkBin m:val=\"before\"/\u003e\n \u003cm:brkBinSub m:val=\"\u0026#45;-\"/\u003e\n \u003cm:smallFrac m:val=\"off\"/\u003e\n \u003cm:dispDef/\u003e\n \u003cm:lMargin m:val=\"0\"/\u003e\n \u003cm:rMargin m:val=\"0\"/\u003e\n \u003cm:defJc m:val=\"centerGroup\"/\u003e\n \u003cm:wrapIndent m:val=\"1440\"/\u003e\n \u003cm:intLim m:val=\"subSup\"/\u003e\n \u003cm:naryLim m:val=\"undOvr\"/\u003e\n \u003c/m:mathPr\u003e\u003c/w:WordDocument\u003e\n\u003c/xml\u003e\u003c![endif]--\u003e\u003c!--[if gte mso 9]\u003e\u003cxml\u003e\n \u003cw:LatentStyles DefLockedState=\"false\" DefUnhideWhenUsed=\"false\"\n DefSemiHidden=\"false\" DefQFormat=\"false\" DefPriority=\"99\"\n LatentStyleCount=\"371\"\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"0\" QFormat=\"true\" Name=\"Normal\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"9\" QFormat=\"true\" Name=\"heading 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"9\" SemiHidden=\"true\"\n UnhideWhenUsed=\"true\" QFormat=\"true\" Name=\"heading 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"9\" SemiHidden=\"true\"\n UnhideWhenUsed=\"true\" QFormat=\"true\" Name=\"heading 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"9\" SemiHidden=\"true\"\n UnhideWhenUsed=\"true\" QFormat=\"true\" Name=\"heading 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"9\" SemiHidden=\"true\"\n UnhideWhenUsed=\"true\" QFormat=\"true\" Name=\"heading 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"9\" SemiHidden=\"true\"\n UnhideWhenUsed=\"true\" QFormat=\"true\" Name=\"heading 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"9\" SemiHidden=\"true\"\n UnhideWhenUsed=\"true\" QFormat=\"true\" Name=\"heading 7\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"9\" SemiHidden=\"true\"\n UnhideWhenUsed=\"true\" QFormat=\"true\" Name=\"heading 8\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"9\" SemiHidden=\"true\"\n UnhideWhenUsed=\"true\" QFormat=\"true\" Name=\"heading 9\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"index 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"index 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"index 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"index 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"index 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"index 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"index 7\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"index 8\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"index 9\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"39\" SemiHidden=\"true\"\n UnhideWhenUsed=\"true\" Name=\"toc 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"39\" SemiHidden=\"true\"\n UnhideWhenUsed=\"true\" Name=\"toc 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"39\" SemiHidden=\"true\"\n UnhideWhenUsed=\"true\" Name=\"toc 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"39\" SemiHidden=\"true\"\n UnhideWhenUsed=\"true\" Name=\"toc 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"39\" SemiHidden=\"true\"\n UnhideWhenUsed=\"true\" Name=\"toc 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"39\" SemiHidden=\"true\"\n UnhideWhenUsed=\"true\" Name=\"toc 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"39\" SemiHidden=\"true\"\n UnhideWhenUsed=\"true\" Name=\"toc 7\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"39\" SemiHidden=\"true\"\n UnhideWhenUsed=\"true\" Name=\"toc 8\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"39\" SemiHidden=\"true\"\n UnhideWhenUsed=\"true\" Name=\"toc 9\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Normal Indent\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"footnote text\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"annotation text\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"header\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"footer\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"index heading\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"35\" SemiHidden=\"true\"\n UnhideWhenUsed=\"true\" QFormat=\"true\" Name=\"caption\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"table of figures\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"envelope address\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"envelope return\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"footnote reference\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"annotation reference\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"line number\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"page number\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"endnote reference\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"endnote text\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"table of authorities\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"macro\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"toa heading\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"List\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"List Bullet\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"List Number\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"List 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"List 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"List 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"List 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"List Bullet 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"List Bullet 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"List Bullet 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"List Bullet 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"List Number 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"List Number 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"List Number 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"List Number 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"10\" QFormat=\"true\" Name=\"Title\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Closing\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Signature\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"1\" SemiHidden=\"true\"\n UnhideWhenUsed=\"true\" Name=\"Default Paragraph Font\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Body Text\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Body Text Indent\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"List Continue\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"List Continue 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"List Continue 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"List Continue 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"List Continue 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Message Header\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"11\" QFormat=\"true\" Name=\"Subtitle\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Salutation\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Date\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Body Text First Indent\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Body Text First Indent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Note Heading\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Body Text 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Body Text 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Body Text Indent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Body Text Indent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Block Text\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Hyperlink\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"FollowedHyperlink\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"22\" QFormat=\"true\" Name=\"Strong\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"20\" QFormat=\"true\" Name=\"Emphasis\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Document Map\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Plain Text\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"E-mail Signature\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"HTML Top of Form\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"HTML Bottom of Form\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Normal (Web)\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"HTML Acronym\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"HTML Address\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"HTML Cite\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"HTML Code\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"HTML Definition\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"HTML Keyboard\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"HTML Preformatted\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"HTML Sample\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"HTML Typewriter\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"HTML Variable\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Normal Table\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"annotation subject\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"No List\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Outline List 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Outline List 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Outline List 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Simple 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Simple 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Simple 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Classic 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Classic 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Classic 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Classic 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Colorful 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Colorful 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Colorful 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Columns 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Columns 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Columns 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Columns 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Columns 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Grid 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Grid 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Grid 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Grid 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Grid 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Grid 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Grid 7\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Grid 8\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table List 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table List 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table List 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table List 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table List 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table List 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table List 7\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table List 8\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table 3D effects 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table 3D effects 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table 3D effects 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Contemporary\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Elegant\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Professional\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Subtle 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Subtle 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Web 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Web 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Web 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Balloon Text\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"39\" Name=\"Table Grid\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" UnhideWhenUsed=\"true\"\n Name=\"Table Theme\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" Name=\"Placeholder Text\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"1\" QFormat=\"true\" Name=\"No Spacing\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"60\" Name=\"Light Shading\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"61\" Name=\"Light List\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"62\" Name=\"Light Grid\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"63\" Name=\"Medium Shading 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"64\" Name=\"Medium Shading 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"65\" Name=\"Medium List 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"66\" Name=\"Medium List 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"67\" Name=\"Medium Grid 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"68\" Name=\"Medium Grid 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"69\" Name=\"Medium Grid 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"70\" Name=\"Dark List\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"71\" Name=\"Colorful Shading\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"72\" Name=\"Colorful List\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"73\" Name=\"Colorful Grid\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"60\" Name=\"Light Shading Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"61\" Name=\"Light List Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"62\" Name=\"Light Grid Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"63\" Name=\"Medium Shading 1 Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"64\" Name=\"Medium Shading 2 Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"65\" Name=\"Medium List 1 Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" SemiHidden=\"true\" Name=\"Revision\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"34\" QFormat=\"true\"\n Name=\"List Paragraph\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"29\" QFormat=\"true\" Name=\"Quote\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"30\" QFormat=\"true\"\n Name=\"Intense Quote\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"66\" Name=\"Medium List 2 Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"67\" Name=\"Medium Grid 1 Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"68\" Name=\"Medium Grid 2 Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"69\" Name=\"Medium Grid 3 Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"70\" Name=\"Dark List Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"71\" Name=\"Colorful Shading Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"72\" Name=\"Colorful List Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"73\" Name=\"Colorful Grid Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"60\" Name=\"Light Shading Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"61\" Name=\"Light List Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"62\" Name=\"Light Grid Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"63\" Name=\"Medium Shading 1 Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"64\" Name=\"Medium Shading 2 Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"65\" Name=\"Medium List 1 Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"66\" Name=\"Medium List 2 Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"67\" Name=\"Medium Grid 1 Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"68\" Name=\"Medium Grid 2 Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"69\" Name=\"Medium Grid 3 Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"70\" Name=\"Dark List Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"71\" Name=\"Colorful Shading Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"72\" Name=\"Colorful List Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"73\" Name=\"Colorful Grid Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"60\" Name=\"Light Shading Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"61\" Name=\"Light List Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"62\" Name=\"Light Grid Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"63\" Name=\"Medium Shading 1 Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"64\" Name=\"Medium Shading 2 Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"65\" Name=\"Medium List 1 Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"66\" Name=\"Medium List 2 Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"67\" Name=\"Medium Grid 1 Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"68\" Name=\"Medium Grid 2 Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"69\" Name=\"Medium Grid 3 Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"70\" Name=\"Dark List Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"71\" Name=\"Colorful Shading Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"72\" Name=\"Colorful List Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"73\" Name=\"Colorful Grid Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"60\" Name=\"Light Shading Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"61\" Name=\"Light List Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"62\" Name=\"Light Grid Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"63\" Name=\"Medium Shading 1 Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"64\" Name=\"Medium Shading 2 Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"65\" Name=\"Medium List 1 Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"66\" Name=\"Medium List 2 Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"67\" Name=\"Medium Grid 1 Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"68\" Name=\"Medium Grid 2 Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"69\" Name=\"Medium Grid 3 Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"70\" Name=\"Dark List Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"71\" Name=\"Colorful Shading Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"72\" Name=\"Colorful List Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"73\" Name=\"Colorful Grid Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"60\" Name=\"Light Shading Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"61\" Name=\"Light List Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"62\" Name=\"Light Grid Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"63\" Name=\"Medium Shading 1 Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"64\" Name=\"Medium Shading 2 Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"65\" Name=\"Medium List 1 Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"66\" Name=\"Medium List 2 Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"67\" Name=\"Medium Grid 1 Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"68\" Name=\"Medium Grid 2 Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"69\" Name=\"Medium Grid 3 Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"70\" Name=\"Dark List Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"71\" Name=\"Colorful Shading Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"72\" Name=\"Colorful List Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"73\" Name=\"Colorful Grid Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"60\" Name=\"Light Shading Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"61\" Name=\"Light List Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"62\" Name=\"Light Grid Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"63\" Name=\"Medium Shading 1 Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"64\" Name=\"Medium Shading 2 Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"65\" Name=\"Medium List 1 Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"66\" Name=\"Medium List 2 Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"67\" Name=\"Medium Grid 1 Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"68\" Name=\"Medium Grid 2 Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"69\" Name=\"Medium Grid 3 Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"70\" Name=\"Dark List Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"71\" Name=\"Colorful Shading Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"72\" Name=\"Colorful List Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"73\" Name=\"Colorful Grid Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"19\" QFormat=\"true\"\n Name=\"Subtle Emphasis\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"21\" QFormat=\"true\"\n Name=\"Intense Emphasis\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"31\" QFormat=\"true\"\n Name=\"Subtle Reference\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"32\" QFormat=\"true\"\n Name=\"Intense Reference\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"33\" QFormat=\"true\" Name=\"Book Title\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"37\" SemiHidden=\"true\"\n UnhideWhenUsed=\"true\" Name=\"Bibliography\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"39\" SemiHidden=\"true\"\n UnhideWhenUsed=\"true\" QFormat=\"true\" Name=\"TOC Heading\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"41\" Name=\"Plain Table 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"42\" Name=\"Plain Table 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"43\" Name=\"Plain Table 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"44\" Name=\"Plain Table 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"45\" Name=\"Plain Table 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"40\" Name=\"Grid Table Light\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"46\" Name=\"Grid Table 1 Light\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"47\" Name=\"Grid Table 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"48\" Name=\"Grid Table 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"49\" Name=\"Grid Table 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"50\" Name=\"Grid Table 5 Dark\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"51\" Name=\"Grid Table 6 Colorful\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"52\" Name=\"Grid Table 7 Colorful\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"46\"\n Name=\"Grid Table 1 Light Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"47\" Name=\"Grid Table 2 Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"48\" Name=\"Grid Table 3 Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"49\" Name=\"Grid Table 4 Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"50\" Name=\"Grid Table 5 Dark Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"51\"\n Name=\"Grid Table 6 Colorful Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"52\"\n Name=\"Grid Table 7 Colorful Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"46\"\n Name=\"Grid Table 1 Light Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"47\" Name=\"Grid Table 2 Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"48\" Name=\"Grid Table 3 Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"49\" Name=\"Grid Table 4 Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"50\" Name=\"Grid Table 5 Dark Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"51\"\n Name=\"Grid Table 6 Colorful Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"52\"\n Name=\"Grid Table 7 Colorful Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"46\"\n Name=\"Grid Table 1 Light Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"47\" Name=\"Grid Table 2 Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"48\" Name=\"Grid Table 3 Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"49\" Name=\"Grid Table 4 Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"50\" Name=\"Grid Table 5 Dark Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"51\"\n Name=\"Grid Table 6 Colorful Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"52\"\n Name=\"Grid Table 7 Colorful Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"46\"\n Name=\"Grid Table 1 Light Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"47\" Name=\"Grid Table 2 Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"48\" Name=\"Grid Table 3 Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"49\" Name=\"Grid Table 4 Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"50\" Name=\"Grid Table 5 Dark Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"51\"\n Name=\"Grid Table 6 Colorful Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"52\"\n Name=\"Grid Table 7 Colorful Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"46\"\n Name=\"Grid Table 1 Light Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"47\" Name=\"Grid Table 2 Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"48\" Name=\"Grid Table 3 Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"49\" Name=\"Grid Table 4 Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"50\" Name=\"Grid Table 5 Dark Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"51\"\n Name=\"Grid Table 6 Colorful Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"52\"\n Name=\"Grid Table 7 Colorful Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"46\"\n Name=\"Grid Table 1 Light Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"47\" Name=\"Grid Table 2 Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"48\" Name=\"Grid Table 3 Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"49\" Name=\"Grid Table 4 Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"50\" Name=\"Grid Table 5 Dark Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"51\"\n Name=\"Grid Table 6 Colorful Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"52\"\n Name=\"Grid Table 7 Colorful Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"46\" Name=\"List Table 1 Light\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"47\" Name=\"List Table 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"48\" Name=\"List Table 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"49\" Name=\"List Table 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"50\" Name=\"List Table 5 Dark\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"51\" Name=\"List Table 6 Colorful\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"52\" Name=\"List Table 7 Colorful\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"46\"\n Name=\"List Table 1 Light Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"47\" Name=\"List Table 2 Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"48\" Name=\"List Table 3 Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"49\" Name=\"List Table 4 Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"50\" Name=\"List Table 5 Dark Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"51\"\n Name=\"List Table 6 Colorful Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"52\"\n Name=\"List Table 7 Colorful Accent 1\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"46\"\n Name=\"List Table 1 Light Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"47\" Name=\"List Table 2 Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"48\" Name=\"List Table 3 Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"49\" Name=\"List Table 4 Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"50\" Name=\"List Table 5 Dark Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"51\"\n Name=\"List Table 6 Colorful Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"52\"\n Name=\"List Table 7 Colorful Accent 2\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"46\"\n Name=\"List Table 1 Light Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"47\" Name=\"List Table 2 Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"48\" Name=\"List Table 3 Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"49\" Name=\"List Table 4 Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"50\" Name=\"List Table 5 Dark Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"51\"\n Name=\"List Table 6 Colorful Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"52\"\n Name=\"List Table 7 Colorful Accent 3\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"46\"\n Name=\"List Table 1 Light Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"47\" Name=\"List Table 2 Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"48\" Name=\"List Table 3 Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"49\" Name=\"List Table 4 Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"50\" Name=\"List Table 5 Dark Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"51\"\n Name=\"List Table 6 Colorful Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"52\"\n Name=\"List Table 7 Colorful Accent 4\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"46\"\n Name=\"List Table 1 Light Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"47\" Name=\"List Table 2 Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"48\" Name=\"List Table 3 Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"49\" Name=\"List Table 4 Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"50\" Name=\"List Table 5 Dark Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"51\"\n Name=\"List Table 6 Colorful Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"52\"\n Name=\"List Table 7 Colorful Accent 5\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"46\"\n Name=\"List Table 1 Light Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"47\" Name=\"List Table 2 Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"48\" Name=\"List Table 3 Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"49\" Name=\"List Table 4 Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"50\" Name=\"List Table 5 Dark Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"51\"\n Name=\"List Table 6 Colorful Accent 6\"/\u003e\n \u003cw:LsdException Locked=\"false\" Priority=\"52\"\n Name=\"List Table 7 Colorful Accent 6\"/\u003e\n \u003c/w:LatentStyles\u003e\n\u003c/xml\u003e\u003c![endif]--\u003e\u003c!--[if gte mso 10]\u003e\n\u003cstyle\u003e\n /* Style Definitions */\n table.MsoNormalTable\n\t{mso-style-name:\"Tableau Normal\";\n\tmso-tstyle-rowband-size:0;\n\tmso-tstyle-colband-size:0;\n\tmso-style-noshow:yes;\n\tmso-style-priority:99;\n\tmso-style-parent:\"\";\n\tmso-padding-alt:0cm 5.4pt 0cm 5.4pt;\n\tmso-para-margin-top:0cm;\n\tmso-para-margin-right:0cm;\n\tmso-para-margin-bottom:8.0pt;\n\tmso-para-margin-left:0cm;\n\tline-height:107%;\n\tmso-pagination:widow-orphan;\n\tfont-size:11.0pt;\n\tfont-family:\"Calibri\",\"sans-serif\";\n\tmso-ascii-font-family:Calibri;\n\tmso-ascii-theme-font:minor-latin;\n\tmso-hansi-font-family:Calibri;\n\tmso-hansi-theme-font:minor-latin;\n\tmso-bidi-font-family:Arial;\n\tmso-bidi-theme-font:minor-bidi;\n\tmso-fareast-language:EN-US;}\n\u003c/style\u003e\n\u003c![endif]--\u003eThere is a lesion located in the distal femur with typical aggressive features of a malignant tumour with:\u003c/p\u003e\u003cul\u003e\n\u003cli\u003eirregular and partial destruction of cortical bone\u003c/li\u003e\n\u003cli\u003e\nperiosteal reaction with Codman triangle formation\u003c/li\u003e\n\u003cli\u003eindistinct zone of transition\u003c/li\u003e\n\u003cli\u003eperpendicular spiculations producing a sunburst appearance\n\u003c/li\u003e\n\u003cli\u003eassociated large soft tissue swelling\u003c/li\u003e\n\u003c/ul\u003e\u003cp\u003eHistologically proven Ewing sarcoma.\u003c/p\u003e"},"contributor_login":"samy19","case_id":84751,"case_key_image_id":54006427,"case_featured_at":null},"current_user":null,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_pin":false}}

There is a lesion located in the distal femur with typical aggressive features of a malignant tumor with:

irregular and partial destruction of cortical bone
periosteal reaction with Codman triangle formation
indistinct zone of transition
perpendicular spiculations producing a sunburst appearance
associated large soft tissue swelling

Histologically proven Ewing sarcoma.

From the case: Ewing sarcoma - femur

Annotated image

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Green: Cortical bone destruction
Pink: Periosteal reaction
Arrow: Codman triangle
Blue: Sunburst appearance
Yellow lines: Cortical thinning
Gray lines: soft tissue expansion

Case Discussion

Pathologically proven Ewing sarcoma. This is a highly malignant bone tumor seen in the first two decades of life. The main differential diagnosis is osteosarcoma.

References

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Ewing sarcoma

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Ewing sarcoma - femur

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Ewing sarcoma - femur

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