PMC1698141_01
Pathological fracture of right proximal tibia.
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F1
A plain x-ray showed a pathological fracture of the proximal tibia (Figure 1) and he was referred to the regional sarcoma centre via his local fracture clinic.
MRI right leg, showing osteosarcoma of proximal tibia
with further lesions in the distal femur.
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F2
Biopsy of proximal femoral lesion showing high-grade
intramedullary osteosarcoma.
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F3
A biopsy of the proximal tibial lesion confirmed the diagnosis of high-grade intramedullary osteosarcoma (Figure 3).
Postoperative x-rays showing prosthetic replacement.
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F4
Therefore, six months after diagnosis, the patient underwent resection of the right proximal tibia and distal femur with prosthetic replacement (Figure 4).