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6F presenting with months of insidiously increasing right mid-thigh pain. Prefers not to bear weight, pain present at rest and night time. No improvement with anti-inflammatory medications. Mother reports fevers.
Unremarkable No family history of malignancy
MSK - R thigh - able to bear weight but with antalgic gait favoring left side, increased circumference of right thigh with deep, firm, immobile, palpable enlargement of mid-thigh, otherwise intact ROM at ipsilateral knee and hip, limited strength to knee extension and flexion 2/2 pain about mid-thigh, otherwise neurovascularly intact distally
Neo-adjuvant chemotherapy, wide excision with intercalary spacer placement and internal fixation, adjuvant chemotherapy
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