Registrar Quiz 1 35. What is the diagnosis shown in this X- ray of the lower humerus and elbow joint in a 62 year old patient. He gave a history of a gradually increasing tender bony swelling over the lateral side of the lower humerus over a 3 month duration. An osteosarcoma secondary to Pagets disease of the lower humerus. Note the eroded area, and the typical coarse trabeculae of Paget's disease.
Treatment is usually radiotherapy, and occasionally an amputation if required.
Chemotherapy is not usually given in elderly patients over the age of 60 due to the toxic effects of the drugs.