The final Core and FNA results is high grade epitheloid angiosarcoma.
The case has been discussed in bone & soft tissue MDT with orthpaedic surgeons stating that there is a large FDG avid lung nodule on PET.
Best Regards,
Foroogh
Begin forwarded message:
> From: Foroogh JafariMousavi <jafarimosavi@yahoo.co.uk>
> Date: 11 January 2022 at 22:58:58 AEDT
> To: ocad-msk@googlegroups.com
> Subject: Interesting case
>
> Hi Everyone,
> I hope that you have enjoyed the holiday season.
>
> We had this interesting case in Royal Prince Alfred hospital in Sydney, Australia that I thought I share with you.
>
> 58 yr old male with few weeks of mid femur pain and no history of trauma was referred by orthopaedic team. Their thoughts were that, this was an Osteoid Osteoma and asked us in the IR department to treat it with radiofrequency ablation. However, patient’s demographic and imaging findings are not typical for Osteoid Osteoma. So we decided to do a biopsy first and make a MDT decision afterwards.
>
> I have attached X-ray, CT ,MRI and biopsy images.
>
> The Xray showed a small cortical defect at the site of pain.
> CT showed the same finding with some periosteal reaction.
> MRI showed a 5mm T2 hyper intense, soft tissue nodule adjacent to the cortex.
>
> The FNA result showed malignant cells, suggestive of melanoma. The core biopsy result is still pending.
>
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> Best Regards ,
>
> Foroogh
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