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Malignant bone tumours (Ewing's sarcoma (Clinical presentation
Bony…
Malignant bone tumours
Ewing's sarcoma
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Diagnosis
History: bony mass
Examination: bony mass
Investigations: X-ray (bone destruction, new bone formation, soft tissue swelling, periosteal elevation),
MRI, bone scan, CT chest (mets)
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Management
Medical: chemo, RT
Surgical: amputation
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Osteosarcoma
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Diagnosis
History: painful bony mass, fatigue, weight loss
Examination: painful bony mass
Investigations: X-ray (bony destruction, new bone formation, periosteal elevation), MRI (staging), CT chest/abdo/pelvis (mets)
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Chondrosarcoma
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Diagnosis
History:painful bony mass
Examination: painful mass in axial skeleton
Investigations: X-ray, CT
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