PMC4844498_01
Pre-Operative radiograph of the patient showing permeative pattern or moth eaten type of lesion seen over the metadiaphyseal region of left femur with pathological fracture.
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F1
Plain radiographs of the affected part showed ill-defined osteolytic permeative pattern or moth eaten type of lesion with destruction of bone involving the diaphyseal and metaphyseal region of proximal femur and extension into the soft tissues (Fig. 1A, B).
Contrast enhanced CT Scan of thorax-showing mass lesion in the apical segment of right lower lobe.
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F2
Mild adjacent pleural thickening is noted (Fig. 2).
Intraoperative specimen of Tumour Excision with wide local excision of the tumour done
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F3
Wide local excision of the tumor was done. 17 cm of the affected bone including the head of the femur was resected out (Fig. 3).
Immediate Post Operative radiograph showing customised steel bipolar cemented proximal femoral mega prosthesis. 4B-11 months follow up radiograph showing no loosening of the implant.
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F4
She has completed 11 months of follow up and is totally asymptomatic, pain free and walks independently with support (Fig. 4A, B).