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British Journal of Radiology (2003) 76, 337-338
© 2003 British Institute of Radiology
doi: 10.1259/bjr/90973790
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Case report

Unusual peritoneal spreading by metastatic osteosarcoma of the tibia

J-T Lin, MD1, C-C Yen, MD1, W-S Wang, MD1, T-J Chiou, MD1, J-H Liu, MD1, H-T Wu, MD2 and P-M Chen, MD1

1 Division of Medical Oncology and 2 Department of Radiology, Taipei Veterans General Hospital and National Yang-Ming University School of Medicine, Taipei, Taiwan

Correspondence: Chueh-Chuan Yen, MD, Division of Medical Oncology, Taipei Veterans General Hospital, 201, Sec.2, Shi-Pai Road, Shi-Pai, Taipei, Taiwan 106

We report a 17-year-old boy with chondroblastic osteosarcoma initially found in left proximal tibia. He received surgical resection and chemotherapy. However, a lung metastasis was found 4 years later. Despite intensive chemotherapy, the metastatic osteosarcoma of lung continued to invade the ribs and later into retroperitoneum and liver. The metastatic pattern of chrondroblastic osteosarcoma of tibia directly to the chest and then into the abdomen is unusual.






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