Department of Surgery Jars

21- Osteosarcoma of Upper Humerus.


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Description Osteosarcoma of Upper Humerus.
Author Department of Surgery
Copyright Cairo University - Faculty of Medicine

Description
This is a jar that contains one half of a vertically-bisected arm, elbow and upper forearm of a child. This is known by the presence of epiphyseal cartilages. There is a bone-destructive tumour that arises from the metaphysic of the upper humerus and measures about 12 X 12.cm. The tumour destroyed bone architecture in upper humerus and extended in the surrounding soft tissue. It, however, does not invade the epiphysis. The cut section shows colour heterogenicity with dark areas that are suggestive of haemorrhage and necrosis.

Diagnosis
Osteosarcoma of upper humerus

 

Possible questions
Q. What is the usually affected age group?
A. Children.
 

Q. What are the common sites of origin of osteosarcoma?
A. Metaphyses of growing ends of bone. In the upper limb this means upper humerus and lower radius and ulna. In the lower limb it means the lower end of femur and upper ends of tibia and fibula. The commonest site, however, is the lower end of femur.
 

Q. What are the histological features?
Q. What are the methods of spread?
Q. What are the radiological features?
Q. What is the treatment?

 

 

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