OCAD

OCAD

fibular sarcoma – tumor recurrance vs late radiotherpy finding?

Dear ocaders, I ask again for your advice. 42 years old female, osteosarcoma of the proximal fibula. Surgery abroad, dedicated sarcoma center, oncological margins preserved, curetage of the adjacent tibia, everything went fine (chimio+radio) July 2020 no recurrence, some tibial areas probably due to radiotherapy January 2021, after 8 month, tibia is now fine, all

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回复:Please help! distal femoral slcerotic lesion, no idea what it is.

Thank to everyone who responsed. The mainstay of opinions was old/choronic infarction, other opinions included benign calcified endochondroma, desmoplatic fibroma, chondrosarcoma, chondromixoid fibroma,liposclerosing myxofibrous tumor. The powerpoint attached in original email  provided more details including X-ray and  more MRI images. The pathologic dignosis was consistent with osteoma. The surgeon said the lesion was very hard.

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Interesting spine case

history of acute onset back pain  Pretty similar to disc related epidural hematoma shared with us by Dr Phillip Tirman couple of months back, although not too much of disc disease in this case.  Interesting 1. Acute denervation edema along L3 distribution (which can be expected).2. Contrast enhancement is little more diffuse than just peripheral. ?

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