title: Osteochondroma-like parosteal osteosarcoma.
abstract: Parosteal osteosarcoma is a well-differentiated, predominantly fibro-osseous variant of osteosarcoma, accounting for 5% of all osteosarcomas. We report a case of parosteal osteosarcoma in the metaphyseal area of right femur, of 2 years' duration in a male aged 35 years. It was mistaken for osteochondroma in the initial biopsy, and the possibility of bizarre parosteal osteochondromatous proliferation (BPOP) was also considered. Subsequent excision of the tumor showed it to be a parosteal osteosarcoma. The patient had recurrence of the lesion after 1 year, and he attended a cancer institute. Follow-up showed metastases of the tumor on bone scan.
authors.affiliation: Department of Pathology, Narayana Medical College, Nellore, Andhra Pradesh, India. drkrishu@yahoo.com
authors.forename: Duddi Sreehari
authors.initials: DS
authors.lastname: Krishna Swaroop
authors.forename: Sarala Jothi
authors.initials: SJ
authors.lastname: Bai
authors.forename: V
authors.initials: V
authors.lastname: Shanthi
authors.forename: B A
authors.initials: BA
authors.lastname: Ramakrishna
mesh_terms: D000328:Adult; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology*; D003937:Diagnosis, Differential; D005269:Femur / Q000000981:diagnostic imaging / Q000473:pathology*; D006801:Humans; D008297:Male; D009362:Neoplasm Metastasis; D015831:Osteochondroma / Q000175:diagnosis; D012516:Osteosarcoma / Q000175:diagnosis* / Q000601:surgery; D011859:Radiography; D012008:Recurrence