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Case: Symptoms and Presentation

A 32 year old from Nicaragua with a large tumor in the knee

FJ is a 32-year-old father of two small children who presented to the local hospital in Nicaragua with a painful tumor in the left distal femur. A biopsy was made and the diagnosis was giant cell tumor. The patient was told that he needed an amputation, but he refused.

A 25 year old pilot with arm pain

This healthy male was treated for an expansile lesion of the left humeral diaphysis at age 13. At age 25, pain recurred, and xrays show a large new lesion with weakening of the bone.

Radical fasciectomy for plantar fibroma

This 54 year old professional male is very active. He has had a mass on both feet for 20 years or more. The mass on the left has always been larger and is now problematic because of pain and swelling after activities.

Transillumination as a dignostic test for foot and ankle tumors

This 44 year old woman has a 3.5 by 4 cm mass on the lateral distal portion of the foot. Can a definite diagnosis be made right away in the clinic, without a complicated and expensive work up? Read on.

An 11 year old boy with left arm pain - 2

This boy just had his 11th birthday, and he has pain in the left arm above the elbow, with pain at night, mild improvement with various pain medications, and no history of injury, fevers, or previous illness of any kind. A biopsy has been done.

A mass on the big toe for more than 10 years

This 69 year old male has a mass on the lateral aspect of the great toe for at least 10 years. The mass has now gotten large enough to be troublesome. The lesion is not painful. It is fleshly, and moderately soft.

A 58 year old man with a right proximal tibia lesion

This 58 year old man has right knee pain, and a lesion in the anterior part of the right tibia near the tibial tubercle.

An 11 year old boy with left arm pain

This boy just had his 11th birthday, and he has pain in the left arm above the elbow, with pain at night, mild improvement with various pain medications, and no history of injury, fevers, or previous illness of any kind.

A woman from Athens with pain in the left shoulder for 3 years

Female Caucasian , 59 y.o Pain in the left shoulder the last 3 years.
Aggravation the last 6 months, but no night pain.

A young adult with a massive femoral tumor

This young adult has a massive femoral tumor. No further information is available. However, the appearance is very distinctive and may be diagnostic.