The changed preliminary report: a repeatedly missed paediatric tibial tumour.
This report describes a malpractice case involving a delayed diagnosis of a malignant bone tumour in the proximal tibia in a 10-year-old child. This was caused by a combination of factors. The final report on the first examination failed to reach the patient files, and two subsequent X-ray exams failed to diagnose the tumour, due to misinterpretation in one and obscuring plaster of Paris in the other.
Finnbogason
T
T
Department of Paediatric Radiology, Karolinska Hospital, Stockholm, Sweden.
Ringertz
H G
HG
D001859:Bone Neoplasms / Q000000981:diagnostic imaging*; D002648:Child; D003951:Diagnostic Errors; D005260:Female; D015775:Fractures, Stress / Q000000981:diagnostic imaging; D006801:Humans; D008318:Malpractice / Q000331:legislation & jurisprudence; D009985:Orthopedics / Q000331:legislation & jurisprudence; D010007:Osteochondritis / Q000000981:diagnostic imaging; D012516:Osteosarcoma / Q000000981:diagnostic imaging*; D011859:Radiography; D011871:Radiology / Q000331:legislation & jurisprudence; D013548:Sweden; D013977:Tibia / Q000000981:diagnostic imaging*; D013978:Tibial Fractures / Q000000981:diagnostic imaging