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An 11 year old boy with left arm pain - 2

Case Identification
Case ID Number: 
20110909LS
Periosteal Reaction: 
present
Benign/Malignant: 
unknown
Clinical case information
Case presentation: 

This boy just had his 11th birthday, and he has pain in the left arm above the elbow, with pain at night, mild improvement with various pain medications, and no history of injury, fevers, or previous illness of any kind. A biopsy has been done.