Indian J Pharm Close
 

Figure 1: (a) Clinical photograph of patient showing (case 1) massive growth arising from the proximal aspect of leg with ulceration (arrow head). Also note the distal extremity edema (b) Plain radiograph of the patient showing osteosclerotic lesion involving the metaphyseo-diaphyseal region of proximal tibia with islands of new bone formation in soft tissues (arrow heads). Also note the massive soft tissue shadow and peri-articular osteoporosis. Patient was clinico-radiologically diagnosed as a case of osteosarcoma with lung metastasis (Enneking stage III). The diagnosis was confirmed by histological examination. This case demonstrates the amount of neglect prevalent in our country, rendering the tumor amenable to resection and reconstruction. Patient was managed with palliative above knee amputation and multi-agent chemotherapy to improve the quality of life

Figure 1: (a) Clinical photograph of patient showing (case 1) massive growth arising from the proximal aspect of leg with ulceration (arrow head). Also note the distal extremity edema (b) Plain radiograph of the patient showing osteosclerotic lesion involving the metaphyseo-diaphyseal region of proximal tibia with islands of new bone formation in soft tissues (arrow heads). Also note the massive soft tissue shadow and peri-articular osteoporosis. Patient was clinico-radiologically diagnosed as a case of osteosarcoma with lung metastasis (Enneking stage III). The diagnosis was confirmed by histological examination. This case demonstrates the amount of neglect prevalent in our country, rendering the tumor amenable to resection and reconstruction. Patient was managed with palliative above knee amputation and multi-agent chemotherapy to improve the quality of life