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Unknown Musculoskeletal Clinical Cases Part B: Can You Recognize these Entities?

March 01, 2017

Contributors: Ian O'Connor, BS; James C Wittig, MD, FAAOS; Alexander P Decilveo; Alexander P Decilveo

Medical students, residents, physicians, and orthopaedic surgeons must become familiar with recognizing and diagnosing various types of musculoskeletal sarcomas because of their potential severity and mortality. In addition, benign bone and soft-tissue tumors also may cause considerable discomfort and are associated with a risk for malignant transformation. This video reviews case studies of patients with a benign or malignant musculoskeletal tumor. The goal of these case studies is to provide a complete clinical picture, detailing patient symptoms, radiologic studies, and histologic images to test viewers’ knowledge and discuss how to formulate a radiologic and pathologic differential diagnosis. This video is part of a three-part series, presenting 7 of 22 total case studies. The tumors described in this video include de-differentiated chondrosarcoma, soft-tissue osteosarcoma, leiomyosarcoma, clear cell sarcoma, parosteal osteosarcoma, schwannoma, and osteoid osteoma. By reviewing these case studies, medical students, residents, and physicians will improve their diagnostic skills and be able to more optimally diagnose patients with a musculoskeletal neoplasm. Patients in whom a musculoskeletal tumor is suspected should be referred to an experienced orthopaedic oncologist for treatment.

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