Bone Cancer
A 42-year-old woman presents with a 4-month history of persistent pain in her left thigh that worsens at night and does not improve with rest or over-the-counter pain medications. She initially attributed the pain to muscle strain from exercise, but over time, the pain has become constant and severe. She has also noticed some swelling in the thigh and unintentional weight loss over the past two months. She denies any recent trauma or injury.
On physical examination, there is localized swelling and tenderness over the mid-thigh, but no redness or warmth. X-rays reveal a lytic lesion in the femur, raising concerns for a bone tumour. A subsequent MRI shows a destructive mass in the femur, and a biopsy confirms the diagnosis of osteosarcoma, a type of bone cancer.
The treatment plan includes chemotherapy to shrink the tumour, followed by surgical resection of the affected bone. The patient will require close follow-up and possibly additional treatments depending on the response to chemotherapy and the extent of the tumour.
a). Night sweats
b). Persistent pain in the left thigh
c). Fever and chills
d). Difficulty walking
a). Numbness in the leg
b). Redness and warmth in the thigh
c). Swelling in the thigh and unintentional weight loss
d). Bruising around the knee
a). Ultrasound
b). MRI
c). X-ray
d). CT scan
a). Radiation therapy
b). Surgical resection only
c). Chemotherapy followed by surgical resection
d). Pain management and observation
