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Osteosarcoma Developing in Solitary Enchondroma of the Tibia
M. A. ROCKWELL; W. F. ENNEKING
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From the Department of Surgery, Division of Orthopaedic Surgery, College of Medicine, University of Florida, Gainesville
1971 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1971; 53:341-344 
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Abstract

The case of a man who died from the effect of strontium-concentrating metastatic tumor of the lung fields is reported. The origin of these tumors was osteosarcoma in the mid-shaft of the left tibia bounded at either end by a benign cartilaginous tumor. It was also discovered that the patient had had an asymptomatic lesion of this tibial area four-and-one-half years prior to his death and it would seem highly unlikely that the osteosarcoma had been present throughout the entire course of the benign cartilaginous lesion. Although tissue from the lung was not available for histological examination, the uptake of radioactive strontium indicates active osteogenesis in the metastatic nodules. This case is presented as an osteosarcoma taking origin in a solitary, benign enchondroma of a long bone in a middle-aged man.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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