Posted: Oct 8 2015 #(C2397)

Coccygeal mass

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HPI

Fall from standing height 3 years ago Complaints of constant pain almost every day at the coccygeal region The dimension of the mass is increasing with the passing time Bone scanning ( - ) ALP 245 Temporary pain relief at NSAID No local inflammation signs WBC normal values CRP above limit

PMH

Free medical history

Pain at palpation

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What is the MOST LIKELY diagnosis based on the limited information provided?

1 Chordoma

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2 Metastasis

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3 Myeloma

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4 Lymphoma

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5 Giant cell tumor

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6 Chondrosarcoma

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7 Infection

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8 ABC

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9 Fracture hematoma

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10 Osteosarcoma

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Other

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P: 8388

What would be your NEXT step in treatment?

1 Bone biopsy and curettage

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2 Curettage and cortisone infiltration

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3 Radiation

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4 Bone excision

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5 Observation with interval radiographs

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P: 8389

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