High-grade surface osteosarcoma - chondroblastic type.
We present the case of an 8-year-old boy with pain in the distal part of the right thigh that occurred after a ball injury, without haematoma or oedema. The plain film showed exostosis of the distal part of the right femur. In another institution the "exostosis-like" formation was surgically removed and the histological finding was an aggressive type of chondroblastoma. A few months later, on the site of the surgical intervention, a significantly enlarged painful solid mass appeared. Radiography showed a large dense mass at the level of distal femoral metadiaphysis with tumour matrix mineralization, and Codman's sign. Computed tomography showed a large soft tissue mass, which arose from the surface of the underlying cortical bone and signs of high-grade malignancy. CT is a valuable method in predicting high-grade malignancy. Arteriography was also done. After operative treatment - seq. Campanacci, histology showed high-grade surface osteosarcoma of chondroblastic type. Pre- and post-operative chemotherapy was carried out. The boy died 2 years after diagnosis because of recurrent disease. High-grade surface osteosarcoma has the worst prognosis, compared with other surface osteosarcomas. Therefore, timely diagnosis is indispensable.
Vasilevska
V
V
City Surgical Clinic "St.Naum Ohridski", Faculty of Medicine Skopje, R. Macedonia. v_vasilevska@yahoo.com
Zafirovski
G
G
Kirjas
N
N
Muratovska
O
O
Janevska
V
V
Samardziski
M
M
Kostadinova-Kunovska
S
S
Tolevska
V
V
Andonovska
D
D
Sapova
B
B
D002648:Child; D002804:Chondroblastoma / Q000000981:diagnostic imaging* / Q000473:pathology; D005266:Femoral Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D006801:Humans; D008297:Male; D012516:Osteosarcoma / Q000000981:diagnostic imaging* / Q000473:pathology; D014057:Tomography, X-Ray Computed