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Published 20 November 2008
Cite this as: BMJ Case Reports 2008 [doi:10.1136/bcr.06.2008.0159]
Copyright © 2008 by the BMJ Publishing Group Ltd.

Unusual presentation of more common disease/injury

Atypical malignant round cell tumour of the femur

Natasha Gupta1, Asis Karak2, Awadhesh Tiwari1

1 Department of Radiology, B.P. Koirala Institute of Health Sciences, Dharan, Nepal
2 Department of Pathology, B.P. Koirala Institute of Health Sciences, Dharan, Nepal

Correspondence to:
drnatashagupta{at}gmail.com

SUMMARY

We report an atypical case of malignant round cell tumour in a 25-year-old man who presented with pain in the left hip of insidious onset and long duration of about 11/2 years. Radiologically, the tumour was meta-epiphyseal in location with sparing of the diaphysis and showed a defined, narrow zone of transition. These appearances are contradictory to the well documented classical features of malignant round cell tumours, which usually present with a short history, are meta-diaphyseal in location, and appear ill-defined with a wide zone of transition due to infiltration of the adjacent bone.


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