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Explore Clinical Cases

Case: Symptoms and Presentation

A bone tumor in the finger

The 34-year-old man has a 2 year history gradual growth of a slightly tender mass on the index finger. There is no other significant medical history or exam finding.

A woman from Kenya with a bizarre looking right ilium

This is a consult from an ortho clinic in Kenya, a 62 y/o F presents with a transverse, midshaft femur fracture from a low-energy trauma (mechanical fall) about one week ago. She has a history of chronic hip pain for several years. She had been ambulatory prior to the fall. Additionally, she has a very bizarre-appearing hemipelvis and hip joint ipsilaterally.

A mass in the foot for about 2 months

The patient is 74, with pain and small area of swelling on the left foot for 2 months. The swelling has increased and a definite mass is present. The patient has prostate cancer treated years ago. He quit smoking 40 years ago.

A 49 year old woman with an enlarging calcaneal mass - 2

The patient reports an enlarging mass in the left foot for 2 years. Apparently it was small 2 years ago and now is quite substantial. An open biopsy was done, and resection is now planned.

A 25 year old nanny with a right hip mass

The patient is a healthy 25-year-old woman. She had a bump discovered near her right hip several years ago, that she thought was cellulite. It was not painful then. Recently the bump seems bigger, and it is now symptomatic.

A 49 year old woman with an enlarging calcaneal mass

The patient reports an enlarging mass in the left foot for 2 years. Apparently it was small 2 years ago and now is quite substantial. It is painful, she cannot put on a regular shoe, and it is starting to significantly interfere with function

A 32 year old from Nicaragua with a large tumor in the knee

FJ is a 32-year-old father of two small children who presented to the local hospital in Nicaragua with a painful tumor in the left distal femur. A biopsy was made and the diagnosis was giant cell tumor. The patient was told that he needed an amputation, but he refused.

A 25 year old pilot with arm pain

This healthy male was treated for an expansile lesion of the left humeral diaphysis at age 13. At age 25, pain recurred, and xrays show a large new lesion with weakening of the bone.

Radical fasciectomy for plantar fibroma

This 54 year old professional male is very active. He has had a mass on both feet for 20 years or more. The mass on the left has always been larger and is now problematic because of pain and swelling after activities.

Transillumination as a dignostic test for foot and ankle tumors

This 44 year old woman has a 3.5 by 4 cm mass on the lateral distal portion of the foot. Can a definite diagnosis be made right away in the clinic, without a complicated and expensive work up? Read on.