Suspicion of cancer in my 4-year old daughter

[mahmad]

She developed a limp about 2 and a half months ago. we immediately consulted a pediatrician, who advised Brufen, suspecting that it might be some viral infection in the knee. However, limp didn't go away; rather we found a small swelling on her left tibia (shin bone). Xray revealed slight swelling. Again the doctor prescribed Brufen. when that didn't help, as she would wake up in the night complaining about the pain, the doctor opted for MRI. First normal MRI was done and then with contrast. The radiologist's report advised that biopsy should be done. at that point we consulted an ortho-pediatrician who advised a CT Scan, which according to the radiologist wasn't' conclusive. Now we have been advised to do the Bone Scan. Can anyone help us in diagnosis. If it's a tumor, someone please tell us it's not malignant. Apart from the limp, the child is active and happy most of the time. He wait is consistently around 17 kg since many months, i.e, it has not reduced lately.

[mahmad]

sorry, it's NOT malignant

[mahmad]

Thanks, Dr Santos. My daughter's physician, in consultation with a team of radiologists, has concluded that the tumor is malignant and that it is Oestoid Osteoma. However, he's only 90% sure (as is usual in such cases). Incidentally, tomorrow is the surgery for removal of tumor and at the same time the sample will be sent for biopsy.

[Dr Santos]

Hi,
How is your daughter? What other symptoms are present? Bone tumors may indeed be benign or malignant. And to rule out malignancy, biopsy may indeed be indicated. If imaging studies are not conclusive and the underlying cause is not identified, additional tests such as bone scan may need to be done. It is best that you discuss this also with her attending physician for proper evaluation. Take care and do keep us posted.