Case Report: Diagnostic challenges in humeral osteosarcoma

Osteosarcoma is a malignant bone tumor with an incidence of 1–3 cases per million people annually. While it can occur at any age but is most common in children and adolescents, with a secondary, lower incidence peak in individuals over 60 years.We present a clinical case of a 65-year-old female initially treated forosteomyelitis before being diagnosed with osteosarcoma of the humerus. The diagnosis was confirmed using radiological methods, including X-ray, ultrasound, computed tomography, and magnetic resonance imaging.Osteosarcoma in adults accounts forapproximately 1% of all cases, highlighting diagnostic challenges due to its rarity and nonspecific symptoms mimicking osteomyelitis. Therefore, osteosarcoma should be considered a primary differential diagnosis in such cases until proven otherwise. Keywords:osteosarcoma,humeral osteosarcoma,osteomyelitis,adult osteosarcoma, radiology.

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Publication Details

Journal
Traumatology and Orthopаedics of Kazakhstan
Published
2025-06-30
DOI
https://doi.org/10.52889/1684-9280-2025-76-3-jto009
Primary Topic
Sarcoma Diagnosis and Treatment
Type
article
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article

Case Report: Diagnostic challenges in humeral osteosarcoma

Lyudmila Spichak
Traumatology and Orthopаedics of Kazakhstan
Sarcoma Diagnosis and Treatment
article

Case Report: Diagnostic challenges in humeral osteosarcoma

Lyudmila Spichak
article en

Abstract

Osteosarcoma is a malignant bone tumor with an incidence of 1–3 cases per million people annually. While it can occur at any age but is most common in children and adolescents, with a secondary, lower incidence peak in individuals over 60 years.We present a clinical case of a 65-year-old female initially treated forosteomyelitis before being diagnosed with osteosarcoma of the humerus. The diagnosis was confirmed using radiological methods, including X-ray, ultrasound, computed tomography, and magnetic resonance imaging.Osteosarcoma in adults accounts forapproximately 1% of all cases, highlighting diagnostic challenges due to its rarity and nonspecific symptoms mimicking osteomyelitis. Therefore, osteosarcoma should be considered a primary differential diagnosis in such cases until proven otherwise. Keywords:osteosarcoma,humeral osteosarcoma,osteomyelitis,adult osteosarcoma, radiology.

Traumatology and Orthopаedics of KazakhstanVol. 76(3)
Openalex Percentile: Top 69%
Sarcoma Diagnosis and Treatment
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