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Exam questionKROK 2Medicine · 2015

A 15-year-old boy has developed pain in the area of his left knee joint. Objectively: thigh soft tissues in the painful area are infiltrated, joint function is reduced. X-ray: there is a focus of destruction in the left distal femoral metaphysis, with periosteum detachment and formation of Codman triangle in the bone cortical layer at the margin of the defect. Chest X-ray reveals numerous microfocal metastases. What pathology is the most likely to cause such presentation?

Answer options

  1. Juxtacortical sarcoma
  2. Fibrosarcoma
  3. Chondrosarcoma
  4. Osteogenic sarcoma
  5. Ewing’s sarcoma
Correct answer

Osteogenic sarcoma

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