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Small-cell extraskeletal osteosarcoma: case report and literature review
Ming Zhang1, Wei Zhang1, Qiang Li1
1Department of Pathology, Yantai Yantaishan Hospital Yantai, Shandong, China.
International Journal of Clinical and Experimental Pathology
|February 20, 2014
Summary
Small-cell extraskeletal osteosarcoma is a rare cancer. Definitive diagnosis requires identifying osteoid in tissue samples, as initial biopsies can be misleading.
Area of Science:
- Oncology
- Pathology
- Radiology
Background:
- Small-cell extraskeletal osteosarcoma is an exceptionally rare malignant tumor.
- Diagnosis can be challenging due to the lack of clearly identifiable osteoid in initial tissue samples.
Observation:
- A case of small-cell extraskeletal osteosarcoma in a 40-year-old female's left leg is presented.
- Initial fine-needle biopsy led to misdiagnosis; open surgical specimen confirmed the tumor with recognizable osteoid.
Findings:
- The tumor presented as a soft tissue mass measuring 36 mm × 18 mm.
- Histopathological analysis of the surgical specimen was crucial for accurate diagnosis.
Implications:
- This case highlights the importance of comprehensive histopathological evaluation for diagnosing rare tumors.
- Accurate diagnosis of small-cell extraskeletal osteosarcoma is critical for appropriate patient management and treatment planning.

