CASE 277: CLOSE BY KNEE JOINT TUMOR, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

MAN 21 YO   PAIN  NEAR  THE  LEFT   KNEE  AFTER  PLAYING  FOOTBALL.
 X-RAY FIRST OF LEFT KNEE AREA D ETECTED ONE MASS  INTRA
MUSCLE WITH  CALCIFICATION  AND ADHERENT TO FEMUR BONE  WITH SIGN OF PERIOSTEAL  EROSION.

ULTRASOUND OF THIS MASS  REVEALED  HYPOECHOIC PATTERN WITH CALCIFICATION INTRA MASS,
HYPOVASCULAR,  SIZE  ARROUND 4 CM.

ELASTOGRAM  SHOWED THAT MASS WAS HARD AND CENTRAL NECROSIS.

MRI  OF THIS MAS PROVED COMING FROM THE FEMUR BONE AND IN   EXTENSION OUT  TO
MUSCLE, LOOKED LIKE  BONE TUMOR (SEE  MRI 1, 2, 3 ).

PET CT   MADE STAGING  THIS TUMOR WAS  LOCAL  INVASION   HIGH
UPTAKED  18 FDG, SUSPECTED OSTEOSARCOMA.

OPEN  SURGERY  BIOPSY FOR  MAKING SURE  DIAGNOSIS.

WAIT FOR MICROSCOPY REPORT.

MICROSCOPIC REPORT WAS  PERIOSTEAL SARCOMA.

WHAT IS  PLAN of TREATMENT FOR THE  21 YO YOUNG PATIENT?