Unusual peritoneal metastases of femoral osteosarcoma

Abstract

Introduction: Osteosarcoma is the most common malignant bone tumor in children, most often occurring in the lower extremity of the femur, and is known to be particularly aggressive, with a high risk of metastasis. The most frequent secondary localizations are pulmonary and bone metastases; peritoneal metastases are extremely rare and have a poor prognosis. Case Report: We report the case of a 14-year-old child with a history of a treated right femoral osteosarcoma, which presented with peritoneal and pulmonary metastases. Conclusion: Imaging plays a very important role in the management of patients with osteosarcoma, it allows an early detection of metastases through a rigorous clinicoradiological surveillance, metastases usually have the same radiological appearance as the primary tumor and the diagnosis of certainty is essentially based on anatomopathological study.