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Case: Symptoms and Presentation

52 year old man with left hip pain

A 52 year old gentleman presents with a 6 month history of pain in his left lower side and left groin. He was admitted to hospital with pain and malaise.

A 58 year old with back pain, thigh pain, a thigh mass, and night sweats

The symptoms have been going on for 18 months. He has been diagnosed and treated by multiple providers for tendinitis, sacroiliitis, and lumbar disc disease. Recently, he has started having soaking night sweats.

A painless ankle mass in a 19 year old

A generally healthy 19-year-old woman presents with an 11 month history of a painless ankle mass.

Pain in the tibia and multiple bone lesions

A 38-year-old woman presents with a two month history of severe pain in the right proximal tibia. Actually, the pain was maximal approximately 4 weeks ago, it has improved significantly since.

A bone tumor in the finger

The 34-year-old man has a 2 year history gradual growth of a slightly tender mass on the index finger. There is no other significant medical history or exam finding.

A woman from Kenya with a bizarre looking right ilium

This is a consult from an ortho clinic in Kenya, a 62 y/o F presents with a transverse, midshaft femur fracture from a low-energy trauma (mechanical fall) about one week ago. She has a history of chronic hip pain for several years. She had been ambulatory prior to the fall. Additionally, she has a very bizarre-appearing hemipelvis and hip joint ipsilaterally.

A mass in the foot for about 2 months

The patient is 74, with pain and small area of swelling on the left foot for 2 months. The swelling has increased and a definite mass is present. The patient has prostate cancer treated years ago. He quit smoking 40 years ago.

A 49 year old woman with an enlarging calcaneal mass - 2

The patient reports an enlarging mass in the left foot for 2 years. Apparently it was small 2 years ago and now is quite substantial. An open biopsy was done, and resection is now planned.

A 25 year old nanny with a right hip mass

The patient is a healthy 25-year-old woman. She had a bump discovered near her right hip several years ago, that she thought was cellulite. It was not painful then. Recently the bump seems bigger, and it is now symptomatic.

A 49 year old woman with an enlarging calcaneal mass

The patient reports an enlarging mass in the left foot for 2 years. Apparently it was small 2 years ago and now is quite substantial. It is painful, she cannot put on a regular shoe, and it is starting to significantly interfere with function