Abstract
HERE’S THE CASE A 15-year-old girl from the Caribbean presented with high-grade pleomorphic osteogenic sarcoma of her distal right femur and multiple bilateral pulmonary nodules. After two courses of high-dose methotrexate, cisplatin, and doxorubicin, a limb-sparing procedure was performed. The margins were negative for tumor, and the tumor necrosis was approximately 75%. Chemotherapy continued, bilateral thoracotomies were performed, and ifosfamide and etoposide were added to the patient’s regimen. Imaging studies showed no evidence of disease, and therapy was continued in her home country. She returned with a left-sided foot drop
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