Osteosarcoma

Case contributed by Kevan English
Diagnosis almost certain

Presentation

Left upper extremity pain accompanied by weight loss.

Patient Data

Age: 15 years
Gender: Female
x-ray

Proximal metadiaphyseal amorphous callus formation with blurring of the cortex that permeates into the bone marrow of the left humerus. Some periosteal reaction is seen more distally.

Impression: findings compatible with bone malignancy, most likely osteosarcoma.

Case Discussion

This represents a case of osteosarcoma confirmed by bone biopsy.

Management included six cycles of chemotherapy, followed by surgical removal of the tumor. An additional two cycles of chemotherapy are scheduled post-surgery.

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