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Suspicion of recurrent osteosarcoma in a patient with pseudotumour adjacent to the endoprosthesis

Marek Duczkowski
Marek Duczkowski
, 
Agnieszka Duczkowska
Agnieszka Duczkowska
, 
Elżbieta Michalak
Elżbieta Michalak
, 
Agnieszka Tomasik-Kowalska
Agnieszka Tomasik-Kowalska
, 
Sylwia Szkudlińska-Pawlak
Sylwia Szkudlińska-Pawlak
, 
Bartosz Pachuta
Bartosz Pachuta
, 
Anna Raciborska
Anna Raciborska
 y 
Monika Bekiesińska-Figatowska
Monika Bekiesińska-Figatowska
   | 27 abr 2022
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Article Category: Case report
Publicado en línea: 27 abr 2022
Páginas: 140 - 143
Recibido: 29 nov 2021
Aceptado: 22 feb 2022
DOI: https://doi.org/10.15557/JoU.2022.0023
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© 2022 Marek Duczkowski, Agnieszka Duczkowska, Elżbieta Michalak, Agnieszka Tomasik-Kowalska, Sylwia Szkudlińska-Pawlak, Bartosz Pachuta, Anna Raciborska, Monika Bekiesińska-Figatowska, published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Fig. 1

Anteroposterior radiograph of the right knee joint. Mixed lytic and sclerotic tumor in the distal metaphysis of the femur with radiographic characteristics of malignancy, i.e., detachment of the periosteum in the form of a Codman triangle (continuous arrow), a poorly defined area of osteolysis in the bone (dashed arrows), and the shadow of a periosteal tumor at the lateral side (arrowheads), with visible bone formation (asterisk) – initial examination
Anteroposterior radiograph of the right knee joint. Mixed lytic and sclerotic tumor in the distal metaphysis of the femur with radiographic characteristics of malignancy, i.e., detachment of the periosteum in the form of a Codman triangle (continuous arrow), a poorly defined area of osteolysis in the bone (dashed arrows), and the shadow of a periosteal tumor at the lateral side (arrowheads), with visible bone formation (asterisk) – initial examination

Fig. 2

Anteroposterior radiograph of the right knee joint after tumor resection and implantation of a femoral endoprosthesis with a knee joint – postoperative imaging
Anteroposterior radiograph of the right knee joint after tumor resection and implantation of a femoral endoprosthesis with a knee joint – postoperative imaging

Fig. 3

Ultrasound performed 3.5 years after the completion of oncological treatment. Hypoechoic lesion located at the border of the femoral stump and endoprosthesis (A), nonvascularized in the color Doppler US (B)
Ultrasound performed 3.5 years after the completion of oncological treatment. Hypoechoic lesion located at the border of the femoral stump and endoprosthesis (A), nonvascularized in the color Doppler US (B)

Fig. 4

Ultrasound performed 4 years after the completion of treatment (6 months after the previous examination). Progression of the lesion size and destruction of the cortical bone (dashed arrows) not visible 6 months earlier (A); vascularization of the lesion in the color Doppler US (B)
Ultrasound performed 4 years after the completion of treatment (6 months after the previous examination). Progression of the lesion size and destruction of the cortical bone (dashed arrows) not visible 6 months earlier (A); vascularization of the lesion in the color Doppler US (B)

Fig. 5

Anteroposterior radiograph of the right femoral stump performed 4 years after the completion of treatment. The area of osteolysis (dashed arrow) at the medial side of the femoral stump
Anteroposterior radiograph of the right femoral stump performed 4 years after the completion of treatment. The area of osteolysis (dashed arrow) at the medial side of the femoral stump

Fig. 6

Histopathological specimens, hematoxylin and eosin staining. Collagenized connective tissue with numerous histiocytes laden with finely granular metal particles (A); highly vascularized connective tissue with hemorrhages and clusters of mononuclear and multinuclear histiocytes laden with fine jet black metal particles (B)
Histopathological specimens, hematoxylin and eosin staining. Collagenized connective tissue with numerous histiocytes laden with finely granular metal particles (A); highly vascularized connective tissue with hemorrhages and clusters of mononuclear and multinuclear histiocytes laden with fine jet black metal particles (B)
eISSN:
2451-070X
Idioma:
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Calendario de la edición:
4 veces al año
Temas de la revista:
Medicine, Basic Medical Science, other
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