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5 cases of osteosarcoma of the X-ray examination and pathological diagnosis
PAGE \* MERGEFORMAT 5
5 cases of osteosarcoma of the X-ray examination and pathological diagnosis
[Keywords:] osteosarcoma pathological analysis of X-ray examination Osteosarcoma is the most common primary malignant one. According to Showalter statistics, osteosarcoma accounts for 22.36% of malignant bone tumor, osteosarcoma, as the vast majority of primary, secondary few can. Especially the young the highest incidence of youth, to the people following the physical and mental health has brought great pain. to strive for early diagnosis and timely treatment, X-ray examination and pathological diagnosis is very important to our hospital in 2009 and 5 cases of osteosarcoma diagnosed patients were X-ray and pathological examination, are reported below.
1 Clinical data 1.1 General information: This 5 cases of osteosarcoma were 4 males and 1 female, aged 13 to 18 years of age, the incidence is about 3 months to August, no history of trauma, clinical symptoms occurred in 3 cases of local tumor, 2 patients with local tenderness, swelling, limp walking, nature of pain, mostly pain, dull and intermittent pain. mostly reddish skin color. testing: 4 cases of abnormal alkaline phosphatase, erythrocyte sedimentation rate by 3 blocks, 2 normal.
1.2X-ray findings: (1) 5 cases occurred in the distal femur, without involving the epiphysis and joint, bone destruction compared with 3 cases, no pathologic fracture. (2) partial lesions mostly along the backbone, the after front side of the damage, some bone sclerosis, there have been grinding Farfetched with glassy-like damage, increased degree of cotton wool shadow of honey. (3) 4 patients in this group along the backbone of the cortical layers showed varying degrees onion skin-like, needle-like periosteal reaction , 1 periosteal reaction is not obvious, 3 cases of Codman’s triangle, two cases is not obvious. (4) 3 patients with local presence of soft tissue mass, 2 cases of soft tissue swelling, mass was no
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