Clinical Cases

A 20 year old male who is vice president of a fraternity presents with knee pain

61 yr M from the west suburban Boston with stage 4 small cell lung CA and distal 3rd pathologic humerus fracture

This 70 year old woman has a mildly painful right foot mass. The mass has forced the fourth and fifth metatarsals to bow outward and remodel.

A 30 year old woman who is recently postpartum has right hip pain.

This woman has had pain in her left hip off and on for several years. The pain was much worse during the summer of 2014 but recently improved. Her current Xrays and CT show a partially healed recent pathological fracture through a large bone tumor in her left femur.

This 42 year old healthy man had insidious onset of left groin and hip pain. The pain got so severe he was admitted to the hospital for tests and treatments, but no diagnosis could be made and the pain got worse. The patient decided to go home and find a different doctor.

This young woman reports she had a slowly growing painful mass in the right ankle, which was excised 8 years ago. Now she has another.

This woman has activity related knee pain,and some pain at rest. A lesion is found in the distal emur, medial femoral condyle, and the concern is what may be causing the pain.

This 58-year-old woman has six months of aching pain in the back of the right knee with no history of injury. X-rays show a lesion with a popcorn appearance.

Previous excision 1 year ago wrist mass, now with recurrence of larger wrist mass as well as new 5th finger mass, moderate pain.

Pt states there is constant dull aching pain in the tip of the 5th finger which is worse at night. The end of the finger is swollen and painful to the touch. He has been taking ibuprofen and it helps reduce the pain.

Teenage girl with superficial painless mass medial ankle, with some nodular areas. At surgery, the lesion is cutaneous /subcutaneous in location - underlying structures not involved. Present for one year and growing slowly.

This woman had a biopsy last year by a visiting medical team, but no one informed her of the diagnosis. She says the mass is larger. Moderate pain. No inflammation. Well healed scar.

15 year old male with mass over lateral distal femoral condyle - xrays normal - mass/thickening found in distal lateral quads tendon.

This man has a 3 month history of progressive growth of a posterior thigh mass. Otherwise he is well and appears healthy.

This man has multiple skin lesions as shown. A large, deep, painless, progressively growing soft mass is present in the left posterior thigh. Sensation is normal in the left leg and foot. What is the likely diagnosis? Given the diagnosis you suspect, what treatment is required?

A woman had a painless growing mass in her leg. A PCP called it a "hematoma". Months passed, and she developed foot drop on the same side, meanwhile the mass is larger. A foot doctor noted the mass but said the foot drop was due to a "ruptured tendon". Finally her acupuncturist told her to get the mass checked.

A 54-year-old man has a medial and a lateral mass on the foot. Both have been growing steadily for years. He must wear EEEEEE width shoes. The diagnosis is evident from the xray and the photo of the mass.

A 56 year old woman had a light injury to her thigh and noticed a bump in the lateral part of the thigh. Two years later, the bump was still there, basically unchanged. An MRI was made and is shown. The results of a biopsy are shown

A year old woman has an exquisitely painful area on her heel. The are has become so painful she must walk on her toes. It is extremely sensitive to cold, as well as any pressure.