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Case Report

Large osteosarcoma of the leg: that’s about the diagnosis on an eight year old boy in the pediatrics service of local hospital center of Abidjan (Côte d’Ivoire)

Richard Azagoh Kouadio, Line Guei Couitchere, Baumaney Sylvanus Koui Beossin, Vincent Kouadio Asse, Jacob Slanziahuelie Enoh, Jean Jacques Atteby Yao, Lassina Cisse.

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In pediatric, it is sometimes difficult to differentiate the relapse of primary tumor from other diagnoses such as osteomyelitis, without performing an organ biopsy. In addition, primitive bone cancer represents 6% of children cancer. Etiologies are predominated by the osteosarcoma that represents around 30 - 80% of the original sarcomas of the skeleton.
Case presentation:
The authors report a case of 8 years old african boy with osteosarcoma. He suffered of a painful tumefaction of the left leg. That was declared since 6 months with the alteration of his general shape. In the beginning of his symptomatology, he was taken in charge by a small town near Abidjan where the osteomyelitis diagnosis was made. He was not only given an antibiotherapy but also his leg was put in plaster.
The biopsy osseous performed on a piece representing the histological exam remains the very key of the diagnosis. The association of both the conservative surgery of the limb and the adjuvant chemotherapy allows today to have a reproduction rate of 7%.

Key words: osteosarcoma, child, diagnosis, treatment

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