1 / 9

Leg Pain in 14-Year-Old Girl |

A girl with persistent leg pain for 2 weeks, localized in the same area, requiring analgesics and causing weakness at night. Suspected osteosarcoma. Diagnostic tests, staging, and treatment discussed. |

fye
Télécharger la présentation

Leg Pain in 14-Year-Old Girl |

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. 14 years old girlpain in the leg

  2. specialities Traumatology Orthopedics Rheumatology Immunology Infectology Hematology Oncology General pediatrics

  3. questions Which leg? Exactly where? Since when? Did she have it earlier? Any trauma? Also painful in the night? Does she need any medication? Immobility? Pain in other localisation? Earlier disease? Chronic disease? Skin symptoms? Fever, diarrhoea?

  4. examination Physical examination Blood CBC, CRP, We, smear PCT, CK, LDH serology: Staph., Strepto., Salmonella, Yersinia, Campylobacter, E.coli, Borellia, tbc AI: RF, ANA, ANCA, SCAT Radiology X-ray US MR CT Bone scintigraphy

  5. No trauma • No feverinthelastperiode • Intheanamnesis no severedisease • Leftkneepainful – alwaysonthesamelocalisation • Afterphysicalactivitiypainincreases • Sometimessheweaksupduringthenightbecause of thepain • Sometimessheneedsanalgetics • 2 weeksduration, alwaysonthesameplacelocalisedbone-pain •  • X-ray 14 years old girlleg pain

  6. 2 weeksduration, alwaysonthesameplacelocalisedbone-pain  X-ray  suspectedmalignancy  openbiopsy  dg: osteosarcoma 14 years old girlleg pain

  7. dg: osteosarcoma Staging: local MRI bone scintigraphy chest CT/MRI Therapy: neoadjuvant chemo operation adjuvant chemo 14 years old girlleg pain

  8. 1,0 non-metastatic ,8 ,6 ,4 metastatic ,2 Survival probability 0,0 0 20 40 60 80 100 120 140 160 180 Follow-up (months) OSC over-all survival

More Related