A RARE PRESENTATION OF LUNG METASTASIS IN OSTEOSARCOMA: A RAPIDLY ENLARGING LUNG LESION

Received 2020-08-11; Accepted 2021-09-17; Published 2021-11-18

Authors

  • Hidayatti S Samin Department of Radiology, School of Medical Sciences, Universiti Sains Malaysia, Jalan Raja Perempuan Zainab II, 16150 Kubang Kerian, Kelantan.
  • Khairil Amir Sayuti Department of Radiology, School of Medical Sciences, Universiti Sains Malaysia, Jalan Raja Perempuan Zainab II, 16150 Kubang Kerian, Kelantan.
  • Nurul Ain Mat Idris Department of Radiology, Hospital Raja Perempuan Zainab II, 15586 Kota Bharu, Kelantan.

DOI:

https://doi.org/10.22452/jummec.vol25no1.14

Keywords:

osteosarcoma, pulmonary metastasis osteosarcoma, hypervascular pulmonary metastasis, haemorrhagic pulmonary metastasis,

Abstract

Osteosarcoma is the most frequent primary malignant mesenchymal bone tumour in children and adolescents. Although the lung is the most common site of its metastasis, to the best of our knowledge, it is infrequent to have hypervascular pulmonary metastasis, particularly in the post-operative period. Herein, we report a case of a 15-year- old boy who presented with a rapidly enlarging lung mass on a background of osteosarcoma of left proximal tibia. The progressively enlarging right lung mass was detected as an opacity on a chest radiograph, three months post-surgical resection of the osteosarcoma. Computed tomography of thorax revealed a contrast-enhancing hypervascular right lung mass. This was complicated with intra-lesional haemorrhage post-biopsy. Histopathological examination (HPE) confirmed metastatic osteosarcoma. We discuss the rarity of this occurrence and its imaging findings.

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Author Biography

Hidayatti S Samin, Department of Radiology, School of Medical Sciences, Universiti Sains Malaysia, Jalan Raja Perempuan Zainab II, 16150 Kubang Kerian, Kelantan.

Department of Radiology, School of Medical Sciences, Universiti Sains Malaysia, Jalan Raja Perempuan Zainab II, 16150 Kubang Kerian, Kelantan, Malaysia
Department of Radiology, Hospital Raja Perempuan Zainab II, 15586 Kota Bharu, Kelantan, Malaysia

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Published

2022-01-20

Issue

Vol. 25 No. 1 (2022)

Section

Research article

License

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