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Extraskeletal osteosarcoma with synchronous regional lymph node and soft tissue metastasis: a rare presentation of an uncommon tumour

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Abstract

Extraskeletal osteosarcoma is a rare soft tissue neoplasm arising from mesenchymal elements with characteristic production of osteoid. These tumours are known to have high rate of distant metastasis and dismal prognosis. We present a rare case of extraskeletal osteosarcoma arising in medial aspect of knee joint with synchronous inguinal node and soft tissue metastasis. The patient was initially diagnosed as myositis ossificans at an outside institute and excised without prior imaging or biopsy. The patient presented to our hospital with recurrent lesion along with palpable inguinal lymph nodes and soft tissue metastasis in thigh. The patient underwent neoadjuvant chemotherapy and wide excision of the primary lesion, soft tissue metastasis and complete groin node dissection. We also discuss the importance of PET scan and intra-operative ultrasonography in the management of these lesions.

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Conflict of interest

Each author certifies that he or she has no commercial associations (e.g. consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article. Each author certifies that all investigations were conducted inconformity with ethical principles of research.

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Authors and Affiliations

  1. Tata Memorial Hospital, Room no: 43, Bone and Soft Tissue Services, E. Borges Marg, Parel, Mumbai, Maharashtra, 400012, India

    Ashish Gulia & Ajay Puri

  2. Department of Surgical Oncology, Tata Memorial Hospital, Mumbai, India

    Sumeet Jain

  3. Department of Pathology, Tata Memorial Hospital, Mumbai, India

    Bharat Rekhi

  4. Department of Radiology, Tata Memorial Hospital, Mumbai, India

    Sashikant Juvekar

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  1. Ashish Gulia
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  2. Ajay Puri
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  3. Sumeet Jain
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  4. Bharat Rekhi
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  5. Sashikant Juvekar
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Correspondence to Ashish Gulia.

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Gulia, A., Puri, A., Jain, S. et al. Extraskeletal osteosarcoma with synchronous regional lymph node and soft tissue metastasis: a rare presentation of an uncommon tumour. Eur J Orthop Surg Traumatol 23 (Suppl 2), 317–321 (2013). https://doi.org/10.1007/s00590-012-1097-6

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  • DOI: https://doi.org/10.1007/s00590-012-1097-6

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