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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The X-ray Regarding Pain And Swelling In Biceps Indicate?

An 18 y.o. male presents with a complaint of pain and swelling in the biceps region of his right upper extremity. Examination reveals a generalized moderate tenderness to this region with mild edema. X-ray reveals an osteolytic lesion to the mid-shaft region of the right humerus. The lesion is further described as having an "onion peel" appearance at the cortical margins.



I need to know the diagnosis, pathophysiology, treatment plan/options? Thank you
Mon, 15 Sep 2014
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General & Family Physician,  's  Response
Welcome to health care magic.

1.The symptoms suggest presence of a lytic lesion right humours bone proximal part.
2.The description seems like malignant lesions - corresponding to the Evings sarcoma, with adjacent soft tissue involvement. Cortical irregularities - more towards malignant lesion - BIOPSY - is confirmatory for the malignancy.
3.Pathophysiology / aetiology are mostly idiopathic, and family history and so on.
4.The treatment depends on the extension of the disease.
5.Excision is done in most of the cases with followup.
6.Note : Diagnose is confirmed with BIOPSY - so wait for the confirmation. Good luck.

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Any thing to ask do not hesitate. Thank you.
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What Does The X-ray Regarding Pain And Swelling In Biceps Indicate?

Welcome to health care magic. 1.The symptoms suggest presence of a lytic lesion right humours bone proximal part. 2.The description seems like malignant lesions - corresponding to the Evings sarcoma, with adjacent soft tissue involvement. Cortical irregularities - more towards malignant lesion - BIOPSY - is confirmatory for the malignancy. 3.Pathophysiology / aetiology are mostly idiopathic, and family history and so on. 4.The treatment depends on the extension of the disease. 5.Excision is done in most of the cases with followup. 6.Note : Diagnose is confirmed with BIOPSY - so wait for the confirmation. Good luck. Hope i have answered your query. Any thing to ask do not hesitate. Thank you.