Journal List > J Korean Bone Joint Tumor Soc > v.20(2) > 1052058

Oh, Lee, Jung, and Na: Osteosarcoma with Adenocarcinoma of Lung in Li-Fraumeni Syndrome: A Case Report

Abstract

Li-Fraumeni syndrome (LFS) is an autosomal dominant hereditary disorder characterised by a variety of different tumor types in children and young adults. That contains with a germline mutation in the tumor suppressor gene Tumor Protein p53 (TP53). That is extremely rare. Furthermore, this is sometimes overlooked. Here, we report a case of LFS which was confirmed by mutational analysis of the p53 gene. Also, literature review is intended to improve understanding of this disease entity.

References

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Figure 1.
Plain radiographs showed the 4 cm sized eccentric bone-destructive lesion with permiative pattern on right proximal tibia and the Codman's triangle on lateral cortex.
jkbjts-20-99f1.tif
Figure 2.
On magnetic resonance imaging, there was 6×3 cm sized mass that have heterogenous signal intensity on T2-weighted (A) and T1-weighted image (B) GD (C) on lateral metaphysis of the proximal tibia. The periosteal reaction and the extraosseous formation was observed around the lateral cortex.
jkbjts-20-99f2.tif
Figure 3.
There are several small peripheral uncharacterized nodules in left lower lobe and right lower lobe of lung on enhanced chest CT.
jkbjts-20-99f3.tif
Figure 4.
On PET-CT imaging, there are multiple nodules in both lobe of lung.
jkbjts-20-99f4.tif
Figure 5.
Pedigree of family revealed multiple early onset cancer, including colon cancer, gastric cancer, neuroendocrine cancer and breast cancer.
jkbjts-20-99f5.tif
Figure 6.
Wide marginal excision and tumor prosthesis reconstruction was performed. Post-operative 2 years, there is no radiologic abnormality change of the implant.
jkbjts-20-99f6.tif
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