Swelling of distal thigh

A previously healthy 20-year-old male was presented with a history of right leg pain following a fall during a football match. He described a two-month history of intermittent mild right leg pain. He had lost weight, and he denied any fevers. Now, he was unresponsive to pain killers, and he was unable to bear weight due to the pain. plz suggest the Dx and Rx.

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Sclerotic lesion of the bone with periosteal elevation. Most likely a primary neoplasm (osteosarcoma) or a secondary. A plane x ray would give additional information. Mri of distal thigh too Get A PET SCAN TO RULE OUT SECONDARIES. Better to avoid to putting a scalpel till further investigated radiologically.
* Osteosarcoma of distal end of femur ** Malignancy Needs further investigation and evaluation to conclude and line of treatment.
Thanks dear Nihar
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? UNDERLYING BONE PATHOLOGY.. ? OATEOSARCOMA.. NEED'S.. BIOPSY.. & .. EXPERTS OPINION TO CONCLUDE DIAGNOSIS AND TREATMENT..
Tnx Dr Ashok Leel sir
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Suspected Osteosarcoma of femur distal end *Biopsy to rule out *Experts opinion please
Thank you Sir@Dr. Shivraj Agarwal
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Dense lesion seen rt lower end of femur Likely osteosarcoma
Thanx dr Kute Ankush
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Only PET scan can give us best impression about Osteosarcoma of femur. Osteosarcoma (also called osteogenic sarcoma) is the most common type of cancer that starts in the bones. The cancer cells in these tumors look like early forms of bone cells that normally help make new bone tissue, but the bone tissue in an osteosarcoma is not as strong as that of normal bones. Most osteosarcomas occur in children and young adults.
Intramedullary lesion Extending beyond cortex Osteodense From history doesn't sound like a fracture with callus Plain xray needed for further comments What does radiologist say Likely to be osteosarcoma MRI evaluation for further planning
Sclerotic lesion in femur bone lower end involving metaphysis With elevation of periosteum, along with periosteal reaction This may point to chronic osteomyelitis
microscopic report was DISTAL FEMUR TUMOR. Report of biopsy of this tumor is OSTEOSARCOMA. THE TREATMENT CHOICE IS AMPUTATION THE LEG OR REGIONAL CHEMOTHERAPY.
He need faridism under presaure to decrese pain n awelling and joint mobilization to increase range
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