Case In Images
 
Neglected telangiectatic osteosarcoma of the femur presenting as surgical emergency
Youssef Mahdi1, Lamiaa Rouas1, Abdelouahed Amrani2, Abderrahmane Malihy1, Najat Lamalmi1, Zaitouna Alhamany1
1MD, Department of Pathology, Children's Hospital, Faculty of Medicine and Pharmacy of the Mohammed V Souissi University, Rabat, Morocco.
2MD, Department of Orthopaedics and Traumatology, Children's Hospital, Faculty of Medicine and Pharmacy of the Mohammed V Souissi University, Rabat, Morocco.

doi:10.5348/ijcri-201455-CI-10012

Address correspondence to:
Youssef Mahdi
Residence Belle vue 2, building 15, apartment 4
Sala Al jadida
Salé
Morocco
Phone: +212 666 394 392
Email: ysf.mahdi@gmail.com

Access full text article on other devices

  Access PDF of article on other devices

[HTML Full Text]   [PDF Full Text] [Print This Article]
[Similar article in Pumed] [Similar article in Google Scholar]


How to cite this article
Mahdi Y, Rouas L, Amrani A, Malihy A, Lamalmi N, Alhamany Z. Neglected telangiectatic osteosarcoma of the femur presenting as surgical emergency. International Journal of Case Reports and Images 2014;5(5):391–397.


Abstract
Introduction: Telangiectatic osteosarcoma is a rare and aggressive subtype of intramedullary osteosarcoma. The distal femur is the most common site.
Case Report: We present a case of telangiectatic osteosarcoma of the femur in a 15-year-old male. The tumor was neglected for six months. The patient had severe anemia with hemoglobin of 5 g/dL. Radiography showed an expansive lytic lesion of the distal end of the femur with cortical destruction, focal periosteal reaction and a pathologic fracture. It showed massive extension to adjacent soft tissue. Given the advanced stage of the disease, an amputation of the limb was performed. Gross examination of the resected distal femur revealed a 22x5 cm intramedullary multicystic hemorrhagic and destructive tumor with cortical destruction and extension into the adjacent soft tissues. Histologically, the tumor showed blood-filled spaces lined by giant cells, separated by septa with malignant tumor cells. An immature bone osteoid kind was observed. Numerous mitotic figures were noted. The resection margins were negative. The staging showed no metastasis. The decision was to complete by 6 cycles of chemotherapy. The postoperative course was unremarkable.
Conclusion: In terms of telangiectatic osteosarcoma, pathological analysis is critical in positive and differential diagnosis.

Keywords: Telangiectatic, Osteosarcoma, Cystic, Malignant

[HTML Full Text]   [PDF Full Text]

Author Contributions
Youssef Mahdi – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revising it critically for important intellectual content, Final approval of the version to be published
Lamiaa Rouas – Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Abderahmane Malihy – Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Najat Lamalmi – Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Zaitouna Alhamany – Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Abdelouahed Amrani – Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2014 Youssef Mahdi et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



About The Authors

Youssef Mahdi is Resident at Department of Pathology, Ibn Sina University Hospital and Faculty of Medicine and Pharmacy of the Mohammed V Souissi University, Rabat, Morocco. He is currently preparing his diploma of specialization in pathology.



Lamiaa Rouas is Professor at Department of Pathology, Children's Hospital and at Faculty of Medicine and Pharmacy of the Mohammed V Souissi University, Rabat, Morocco. Her areas of interest include pediatric pathology, nephropathology and cytopathology.



Abdelouahed Amrani is Professor at Department of Orthopaedics and Traumatology, Children's Hospital and at Faculty of Medicine and Pharmacy of the Mohammed V Souissi University, Rabat, Morocco.



Abderrahmane Malihy is Specialist at Department of Pathology, Children's Hospital, Ibn Sina University Hospital, Rabat, Morocco. His areas of interest include pediatric pathology and gynecopathology.



Najat Lamalmi is Professor at Department of Pathology, Children's Hospital and at Faculty of Medicine and Pharmacy of the Mohammed V Souissi University, Rabat, Morocco. Her areas of interest include pediatric pathology and gynecopathology.



Zaitouna Alhamany is Head of Department of Pathology, Children's Hospital and Professor at Faculty of Medicine and Pharmacy of the Mohammed V Souissi University, Rabat, Morocco. Her areas of interests include pediatric pathology, nephropathology and gynecopathology.