A 14 year old child presents with a hard swelling in the middle the thigh

Question Number 0419

Question:
A 14 year old child presents with a hard swelling in the middle the thigh. On examination the swelling is painful and hot to touch. The child is febrile. An X-ray shows evidence of diaphyseal destruction in the mid femur and concentric layers of new bone formation and periosteal new bone formation with a permeative margin . A likely diagnosis is

a) Ewing's sarcoma
b) Osteomyelitis
c) Giant cell tumour
d) chondrosarcoma
e) Osteoid Osteoma


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