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A 19-year-old male presents with 2 months of night pain in the right shoulder. A radiograph is shown in Figure A and axial CT scan images are found in Figure B and C. A needle biopsy is performed and the representative histology slide is shown in Figure D. What is the most appropriate treatment for this tumor?
Observation with serial radiographs
Irradiation treatment course with maximum dosage of 60 grays
Marginal excision including the underlying cortex
Wide surgical excision
Neoadjuvant chemotherapy, surgical excision, followed by adjuvant chemotherapy
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