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ORTHOPEDIC

DIAGNOSIS PLEASE!

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Osteoclastoma: A tumor of bone characterized by massive destruction of the end (epiphysis) of a long bone. The site most commonly struck by this tumor is the knee ? the far end of the femur and the near end of the tibia. The tumor is often coated by new bony growth and may grow aggressively.. The tumors occur spontaneously. They are not known to be caused by trauma, environmental factors, or diet. Giant cell tumors of bone are not inherited. In rare cases, the tumors may be associated with overactivity of the parathyroid glands—a condition known as "hyperparathyroidism.". Surgical options include intralesional curettage (with or without bone cement), en bloc resection, or marginal excision. MRI and HP would be finally conclusive.

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Osteoclastoma: A tumor of bone characterized by massive destruction of the end (epiphysis) of a long bone. The site most commonly struck by this tumor is the knee ? the far end of the femur and the near end of the tibia. The tumor is often coated by new bony growth and may grow aggressively.. The tumors occur spontaneously. They are not known to be caused by trauma, environmental factors, or diet. Giant cell tumors of bone are not inherited. In rare cases, the tumors may be associated with overactivity of the parathyroid glands—a condition known as "hyperparathyroidism.". Surgical options include intralesional curettage (with or without bone cement), en bloc resection, or marginal excision. MRI and HP would be finally conclusive.

Thanx Dr.Shivrajji.
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It seems to be case of fibrous dysplasia, it is a genetic disorder usually affect adoliscents ang young people . It affect the long nlbones like femur , tibia, humerus but may also cranial bones.it affects single lesion on single bones. Present with pain deformily and pathological fracture. Diagnosed by imaging. Treatment correction of deformity by fixation wit curattage with bone grafting.

Thanks Dr Bipin Bihari Jain
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Expansile multiloculated osteolytic lesion.. shaft og humerus Cortical thinning Marginal reactive sclerosis No cortical breakdown. Dd. GCT ABC FD SUG. Fnac Bx

Also.. clinical correlation.. Age?
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Here are possibilities Osteoclastoma Aneurysm all bone cyst Ewing’s sarcoma

Cystic swelling in n humerus likely Osteoclastoma, Ewing tumour or cyst

Apparently Osteoclastoma left humerus DD erwings sarcoma

Thanks Dr. Shivraj Agrawal ,Nihar Ranjan mohanty
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Agree with Dr.@Vipin Bihari Jain

Thanks sir
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Osteolytic tumor lt shaft humerus ?osteoclastoma

Thanx dr Vipin Bihari Jain
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D/D Aneurysmal bone cyst ewings sarcoma

Thank you sir @Dr. Vipin Bihari Jain
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Osteolytic lesion Osteoclastoma

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