Osteogenic sarcoma

Case contributed by Dr Iqbal Naseem

Presentation

A young male child presented with gradually increasing painful swelling around knee joint since last 2 months.

Patient Data

Age: 9 years
Gender: Male
X-ray

Radiographs of the left knee joint including leg were taken in AP and lateral projections.

Radiographs showing sclerotic lesion involving dia-metaphyseal region of the tibia with a wide zone of transition, osteoid matrix, periosteal elevation (Codman,s Triangle) and characteristic " Sunburst " type of periosteal reaction

No significant soft tissue involvement or intra-articular extension is appreciated.

Case Discussion

The findings in a 9 years old patient; compatible with malignant bone lesions such as osteogenic sarcoma.

Osteogenic sarcoma is usually seen in 2nd decade. The distal femoral metaphysis is the most common site. Highly aggressive tumor with high fatality rates mostly due to pulmonary metastases.

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Case information

rID: 22814
Published: 25th Apr 2013
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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