Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with localized, progressive bone pain, often nocturnal, localized to [Site]. History of recent pathological fracture or palpable soft tissue mass noted. No systemic symptoms of fever or weight loss initially, but duration of symptoms is [Duration]. Pain is unresponsive to NSAIDs.
Clinical Examination Findings
Physical examination reveals a firm, non-tender or tender mass at [Site]. Localized swelling, erythema, and increased warmth may be present. Range of motion at adjacent joints is [Limited/Normal]. Neurovascular status distal to the lesion is intact. No palpable lymphadenopathy.
Treatment Protocol
Treatment plan includes wide surgical resection with clear margins as the primary modality. Neoadjuvant or adjuvant chemotherapy/radiotherapy may be considered based on histological grade and surgical margins. Regular follow-up with serial imaging (MRI/CT/PET-CT) to monitor for local recurrence or pulmonary metastasis.