Bone Tumour Database - Teaching version


 First image Three months history of swelling below L knee. She had no radiotherapy or other factors predisposing to oncogenesis.
No mets on TC scan or chest xray. Biopsy done. No chemotherapy was possible due to her age. Lesion excised. Periosteum excised adjacent to lesion and phenolised with 80% phenol solution. Gastrocnemius flap done to cover defect.
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Presented with this ulcerating mass
Age: 83 yr Diagnosis Osteosarcoma High grade surface  
Site Tibia L Proximal