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Neuroblastoma, metastatic - Distal femur - X-ray
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Neuroblastoma, metastatic - Distal femur - X-ray
  • Case ID: 189
  • Diagnosis: Neuroblastoma, metastatic
  • Category: Bone Tumors
  • Category Type: Round cell
  • Category Sub Type: Malignant
  • Location: Distal femur
  • Age: 4
  • Sex: M
  • Treatment: Chemotherapy
  • Image ID: 1757
  • Image Type: X-ray
  • Images relating to this case: 1757, 1758 , 1759 , 1760 , 1761 , 1762 , 1763 , 1764 , 1765 .

AP radiograph of a 4-year-old boy with symptoms of pain in the knee area shows lytic permeation throughout the distal diaphyseal-metaphyseal portion of the femur, up to the growth plate with evidence of periosteal lifting and reactive new bone formation, quite suggestive of a high-grade round cell sarcoma such as Ewing's sarcoma, metastatic neuroblastoma or, perhaps, an aggressive eosinophilic granuloma, or even bacterial osteomyelitis.


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