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He was told he has cancer - do you agree?

Submitted by henry on Mon, 07/27/2009 - 10:54
Case Identification
Case ID Number: 
20090727DY
Periosteal Reaction: 
present
Benign/Malignant: 
unknown
Clinical case information
Case presentation: 

This man is 71. He has thigh pain and xrays were ordered. The radiologist made the following statement in the report: "The appearance is consistent with a malignant sarcoma or a metastatic cancer." What do you think?

Radiological findings:: 
A mid femoral lesion with some erosion of the periosteum is seen, with a partially calcified mass extending into the soft tissues.
Differential Diagnosis: 
What other process could explain this lesion?
Further Work Up Needed:: 
What would be the next step in the work-up?
Image Reference: 
He was told he has cancer - do you agree?
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