Sandbox: Bone DDx: Difference between revisions
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* Localised bone tenderness | * Localised bone tenderness | ||
* Epiphyses of the | * Epiphyses of the femur | ||
* Solitary expansile eccentrically-placed lytic lesion | * Solitary expansile eccentrically-placed lytic lesion | ||
* Intratumoral hemorrhage present | * Intratumoral hemorrhage present |
Revision as of 15:44, 24 November 2015
- 20-30 yo female
- Bone pain and swelling
- Pathologic fracture
- Paget disease of bone
- Localised bone tenderness
- Epiphyses of the femur
- Solitary expansile eccentrically-placed lytic lesion
- Intratumoral hemorrhage present
- Tumor extends into the subchondral plate
- Uniform and regular distribution of multinucleated giant cells and mononuclear stromal cells
- Hemorrhage, necrosis, and hemosiderin deposition
- Elevated mitotic figures
- Acid phosphatase +ve
- Alpha-1-antitrypsin +ve
- Alpha-1-antichymotrypsin +ve
- Ki-67 +ve