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Exam questionKROK 2Medicine ยท 2015

A 25-year-old man complains of pain in the lower third of his left thigh, which occurs both with and without physical exertion. Possibility of trauma is denied by the patient. Objectively: skin colour is normal; pastosity and pain can be detected with deep palpation; knee joint mobility is reduced. X-ray of distal femoral metaphysis shows an area of destruction and spicule. Blood test: immature cells, no signs of inflammation. The most likely diagnosis is:

Answer options

  1. Multiple myeloma
  2. Osteitis fibrosa cystica
  3. Osteogenic sarcoma
  4. Marble-bone disease
  5. Chronic osteomyelitis
Correct answer

Osteogenic sarcoma

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