PMC9531732_01
Clinical photograph
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F1
Examination showed a swelling in the left side of the neck, measuring 5 cm X 4 cm, non-tender, firm with cystic areas, and with defined peripheral margins, non-pulsatile, no bruit, [Figures 1 and 2].
Clinical photograph
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F2
Examination showed a swelling in the left side of the neck, measuring 5 cm X 4 cm, non-tender, firm with cystic areas, and with defined peripheral margins, non-pulsatile, no bruit, [Figures 1 and 2].
Ultrasonographic image
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F3
She had ultrasonography of the neck, which showed a mass with mixed echogenicity, [Figure 3].
FNAB report
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F4
Fine needle aspiration biopsy (FNAB) was suggestive of malignancy, [Figure 4].
Histopathological sections and report. Section from A (x400) shows malignant spindle cells forming osteoid shows. Section from B (x10,000) shows higher magnification of the malignant spindle cells with osteoid formation. Section from C shows show numerous vascular channels admixed malignant cells. Section from D shows primitive neural cells.
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F5
The tunour was subjected to histopathological examination, which revealed osteosarcoma in a background of mature teratoma, [Figure 5].
Radiograph
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F6
Plain radiography of the neck was then requested, and confirmed an osteogenic tumour, [Figure 6].