This patient came in with leg pain. An x-ray
revealed a dense calcification in the medullary cavity. The tumor
has broken through and appears to be protruding out of the bone.
This x-ray shows the pieces of bone that
were surgically resected. The image on the right shows the tumor
growing out into the soft tissue. This is described as the classical
"sunburst" appearance.
This x-ray is taken after the surgery. A
bone graft from the other tibia is taken and used to replace the surgically
removed portion of the tibia with the neoplasia .
This x-ray was taken a few years post-surgery.
The screws holding the tibia together are clearly visible. The operation
was successful and function was restored to the leg.
This x-ray was taken after the second surgery
in which the screws were removed. The bone has properly healed and
the osteosarcoma has been removed.
Here is another view of the leg following
the second surgery. This x-ray shows how the tibia has fused with
the fibula. This does not present a functional deficit to the patient.