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Case of the Week 555


What is the most likely diagnosis?

  • 18 year-old with slow-growing mass in foot



Frontal radiograph of the foot

  1. Pigmented Villonodular Synovitis
  2. Gout
  3. Synovial Chondromatosis
  4. Synovial Sarcoma
  5. Renal Cell Carcinoma

Additional Images - None

 

Additional Images

 


None


Answer:

 

4. Synovial Sarcoma

 

More (Click Discussion Tab)

 

 

Synovial Sarcoma

General Considerations 

  • Middle-aged and older adults
  • Most frequent presentation: painful
    swelling of the knee
    • Predisposition for lower extremity
  • It is a malignancy
  • Can occur at any age
    • Usually third and fourth decades
  • Usually are extra-articular

MORE . . .

 


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LearningRadiology.com
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.