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Case: Symptoms and Presentation

A 24 year old woman with pain off and on for years

This woman has had pain in her left hip off and on for several years. The pain was much worse during the summer of 2014 but recently improved. Her current Xrays and CT show a partially healed recent pathological fracture through a large bone tumor in her left femur.

In the hospital 5 days for hip pain, but he went home because it got worse

This 42 year old healthy man had insidious onset of left groin and hip pain. The pain got so severe he was admitted to the hospital for tests and treatments, but no diagnosis could be made and the pain got worse. The patient decided to go home and find a different doctor.

She had a similar ankle tumor removed 8 years ago

This young woman reports she had a slowly growing painful mass in the right ankle, which was excised 8 years ago. Now she has another.

A woman with knee pain and a lesion in the femur

This woman has activity related knee pain,and some pain at rest. A lesion is found in the distal emur, medial femoral condyle, and the concern is what may be causing the pain.

Aching pain in the knee and popcorn on the xray

This 58-year-old woman has six months of aching pain in the back of the right knee with no history of injury. X-rays show a lesion with a popcorn appearance.

Nicaragua 2013 - Case 6 - Patient V.V.E - 49 Female Multifocal soft tissue lesion carpal tunnel 5th finger flexor sheath

Previous excision 1 year ago wrist mass, now with recurrence of larger wrist mass as well as new 5th finger mass, moderate pain.

Nicaragua 2013 - Case 4 - Patient E.R.M. - Male 17 Right 5th finger distal phalanx bone lesion

Pt states there is constant dull aching pain in the tip of the 5th finger which is worse at night. The end of the finger is swollen and painful to the touch. He has been taking ibuprofen and it helps reduce the pain.

Nicaragua 2013 - Case 3 - Patient Y.M.H. - Female 14 left medial ankle soft tissue mass

Teenage girl with superficial painless mass medial ankle, with some nodular areas. At surgery, the lesion is cutaneous /subcutaneous in location - underlying structures not involved. Present for one year and growing slowly.

Nicaragua 2013 - Case 5 - Patient T.R.C. - Female 37 Right distal radius dorsal bone lesion

This woman had a biopsy last year by a visiting medical team, but no one informed her of the diagnosis. She says the mass is larger. Moderate pain. No inflammation. Well healed scar.

Nicaragua 2013 - Case 2 - Patient C.J.C. - Male 15 right distal quads mass

15 year old male with mass over lateral distal femoral condyle - xrays normal - mass/thickening found in distal lateral quads tendon.