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Bones, but no moans or stones

Case ID Number: 
20090728BB
Image Modality: 
Xray
Tumor Type: 
unknown tumor - small round blue cells
Benign/Malignant: 
unknown
Body Region: 
located in multiple bones
Periosteal Reaction: 
absent
Tumor Behavior: 
active
Tumor Density: 
lytic