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Exam questionKROK 2Medicine ยท 2014

A 23-year-old male patient consulted a doctor about pain occurring in the lower third of the thigh with weight bearing activities and unloaded. The patient denies any injuries to the region. Objectively: the skin is of normal color, deep palpation reveals pastosity and tenderness, movements of the knee joint are limited. Radiograph of the distal femoral metaepiphyseal region shows a zone of degradation and spicules. In blood: immature cells are present, there are no signs of inflammation. What is the most likely diagnosis?

Answer options

  1. Osteosarcoma
  2. Marble bone disease
  3. Chronic osteomyelitis
  4. Hyperparathyroid dystrophy
  5. Multiple myeloma
Correct answer

Osteosarcoma

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