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Tumor III

Figure 162 is the right shoulder radiograph of a 5-year-old boy who fell and now has right shoulder pain. Prior to the fall he had no history of symptoms. What is the best next step?

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Tumor II

Figure A is the biopsy specimen of a 30-year-old man with a 4-month history of a painless, slow-growing mass in his medial thigh. Local imaging (orthogonal radiographs and MR images with intravenous gadolinium) reveals a 6- x 5- x 7-cm heterogeneous mass in the adductor magnus muscle. Additional analysis confirms the presence of translocation t(x;18). What are the appropriate staging steps to establish a diagnosis?

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Tumor I

An 11-year-old presents with 6-month history of groin pain. X-rays and biopsy specimen are shown in Figure A and B. What is the etiology of the lesion?

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