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Juxta-articular chondroma Kaposi's Sarcoma Large cell lymphoma, Leimyosarcoma, Leiomyosarcoma, Letterer-Siwe disease, Leukemia, Low-grade intramedullary osteogenic sarcoma, Lumbosacral lipoma, Lymphangioma, Lymphangiomatosis, Lymphoma, Lymphoma pseudotumor (Actual: radiation osteitis), Lymphoma pseudotumor (Actual: stress fracture), Lymphoma with secondary osteogenic sarcoma Maffucci's Syndrome, Maligant fibrous histiocytoma pseudotumor (Actual: Hematoma), Malignant fibrous histiocytoma (MFH).
Osteogenic sarcoma, radiation-induced - Proximal femur - X-ray
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Osteogenic sarcoma, radiation-induced - Proximal femur - X-ray
  • Case ID: 531
  • Diagnosis: Osteogenic sarcoma, radiation-induced
  • Category: Bone Tumors
  • Category Type: Osteoid-forming
  • Category Sub Type: Malignant
  • Location: Proximal femur
  • Age: 35
  • Sex: F
  • Treatment: Amputation
  • Image ID: 3266
  • Image Type: X-ray
  • Images relating to this case: 3266, 3267 , 3268 , 3269 , 3270 .

A 35-year-old female gave a history of Hodgkin's disease 20 years before that was treated with chemotherapy and low radiation therapy to both inguinal areas. Six months prior to this x-ray examination she developed pain in the left hip. This AP radiograph of the pelvis and left hip shows diffuse lytic changes in the head, neck and intertrochanteric area of the left proximal femur with small areas of osteoid formation in the medullary canal that on biopsy proved to be osteogenic sarcoma arising from out the irradiated field from her old Hodgkin's disease.


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