Category: Case of the Month

History: A 28 year-old woman presented with a rapidly growing nodule on the right thumb. Radiographs taken prior to surgery demonstrated an ill-defined soft tissue mass without apparent calcification or periosteal reaction (Fig. 1).“December 2008: A 28 y.o. woman with a rapidly growing mass in the thumb”Continue reading

History: A 71-year-old male presented with persistent headache. CT and MRI scans revealed a 5.0 x 4.0 x 2.5 cm bifrontal brain parenchymal mass with two smaller dural-based satellite lesions measuring 3.0 and 1.0 cm in greatest diameter (Fig. 1). The masses were contrast-enhancing and preoperatively were interpreted as meningiomas. During surgery, multiple pieces of pink-gray, rubbery tissue fragments with a lobulated appearance were collected which aggregated 15.0 x 14.0 x 2.5 cm. “November 2008: A 71 y.o. man with a bifrontal brain tumor and dural-based masses”Continue reading

History: A 70 year old man presented with an approximately 12 cm region of red-orange discoloration of the skin over the left scalp. He underwent a left radical excision with parotidectomy and neck dissection. The excised specimen showed an ill-defined and hemorrhagic mass measuring 9 cm in greatest dimension.“October 2008: A 70 y.o. man with multiple scalp nodules”Continue reading

History: A 66 year old male presented with increasing left upper quadrant abdominal pain of two weeks duration. Physical examination showed splenomegaly and multiple violaceous, indurated, non-erythematous cutaneous nodules on the back and torso that ranged from 3 to 6 cm in diameter. “September 2008: A 66 y.o. man with multiple skin lesions and left upper quadrant pain”Continue reading

History: A 19 year old woman with a five month history of right knee pain was radiographically found to have an 8.0 cm loculated well-defined, bubble-type lytic lesion with sclerotic borders involving the distal right femur in the meta-diaphyseal region (Fig. 1). The epiphysis was not involved.“August 2008: A 19 y.o. woman with a lytic femoral lesion”Continue reading