Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a progressive, deep-seated ache in the distal femur, worsening at night. Associated with localized swelling, restricted knee range of motion, and occasional limping. No history of recent trauma. Systemic symptoms include unexplained weight loss and fatigue.
Clinical Examination Findings
Physical exam reveals a firm, non-mobile, tender mass over the distal femoral metaphysis. Overlying skin shows increased warmth and prominent superficial vasculature. Knee joint demonstrates decreased flexion/extension due to mass effect. Neurovascular status is intact distally.
Treatment Protocol
Multidisciplinary management initiated: Neoadjuvant chemotherapy to achieve tumor necrosis, followed by limb-salvage surgery (wide resection and endoprosthetic reconstruction) and adjuvant chemotherapy. Physical therapy for gait training and joint mobilization.