Osteosarcoma - femur

Case contributed by Dr Bruno Di Muzio

Presentation

8 years-old boy with pain and a large area of swelling around the knee. Clinical symptoms for about 5 months.

Patient Data

Age: 8 years
Gender: Male
X-ray

Left femur X-ray

There is a bone tumour characterised by an aggressive periosteal reaction and soft tissue component involving the distal femur. 

MRI

MRI tights (selected images)

MRI selected images showing the tumour involving the bone marrow, cortex, and having a soft tissue component.   

CT

CT Chest (selected images)

Lung metastases. 

Case Discussion

Osteogenic sarcoma is the sixth leading cancer in children under age 15 and it corresponds to approximately a fifth of all bone cancers. Complete radical surgical/en bloc resection is the treatment of choice for most cases. 

This case was discussed in a multidisciplinary meeting where the final diagnosis was announced. 

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Case information

rID: 10998
Published: 7th Oct 2010
Last edited: 29th Jun 2018
Inclusion in quiz mode: Included

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