Osteosarcoma of the fibula with sun burst appearance

Case contributed by mehul

Presentation

Pain and swelling over leg.

Patient Data

Gender: Female

The mid shaft of fibula demonstrates an aggressive, malignant appearing lesion with a sun-burst type of periosteal reaction and cloudy mineralization of the mass itself. At the margin of the lesion a Codman triangle is present. 

Case Discussion

Aggressive periosteal reaction -sunburst type. Combined with the cloudy cotton-wool pattern of lesion mineralization, osteosarcoma is the most likely diagnosis. 

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