Explore Real Clinical Cases

Explore real cases with stories and pictures

Explore Our On-Line Learning Content

Enhance your knowledge of tumors and their management

Right thigh pain in a 37 year old man

Submitted by henry on Mon, 07/27/2009 - 08:51
Case Identification
Case ID Number: 
20090727TP
Periosteal Reaction: 
present
Benign/Malignant: 
unknown
Clinical case information
Case presentation: 

This 37 year old IT manager has 6 months of mild thigh pain, which gradually has gotten worse and is now bothering him at night.

Radiological findings:: 
There is a permeative lesion in the meta-diaphysis of the right femur. Bone scan shows increased uptake, and MRI shows a mass in the surrounding soft tissues. The imaging studies show an aggressive lesion. Complete work up showed multiple nodules in the lungs. Aggressive lesions include malignant bone tumors and some benign lesions.
Differential Diagnosis: 
The differential should include osteosarcoma, Ewing's sarcoma, primary lymphoma, osteoblastoma, infection, and eosinophilic granuloma.
Special Features of this Case:: 
What is the most likely diagnosis?
Image Reference: 
Right thigh pain in a 37 year old man
»