A smoker with elbow pain

Case Identification

Case ID Number
Tumor Type
Position within the bone
Periosteal reaction
Benign or Malignant

Clinical case information

Case presentation

This 67 year old male has pain and a mass in the right dominant elbow. He had a history of smoking for many years. Work-up revealed a lytic lesion in the distal humerus.

Radiological findings:
An aggressive lytic destructive lesion has destruyed most of the humerus just above the elbow. No matrix is seen and no periosteal reaction is evident. A bone scan shows the lesion, but no other abnormal areas. An MRI shows the lesion has expanded aggressively into the soft tissues.
Treatment Options:
This lesion could be a primary sarcoma, if so what type is most likely? What would you do? This lesions might also be a metastatic tumor - if so what is the most likely source? What should be done in that case?
Case Answer
Clinical Case Answer