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- tumour-induced osteomalacia
- phosphaturic mesenchymal tumour
- definite diagnosis
- surgical treatment
- multidisciplinary treatment
A 65-year-old man presented to orthopaedic clinic with an 8-year history of hypophosphataemia and severe systemic multiple bone pain. The patient stated that there was a nodule in the centre of his left palm with the size of 0.5×0.5 × 0.5 cm initially, and it gradually increased to 4.0×3.0 × 1.0 cm during the past 5 years and the tenderness was positive. He denied experiencing any other constitutional symptoms or any history of trauma in the past years. Physical examination revealed a mass in the left palm sized 4.0×3.0 cm, with tenderness and poor mobility. Laboratory tests revealed hypophosphataemia and elevated expression of fibroblast growth factor 23. MRI of the hand showed a nodule in the centre of the left palm, which appeared as inhomogeneous lesion with hyperintense on T2-weighted image (T2WI) (figure 1A, B). We performed a first-line 68Ga-DOTA-TATE positron emission tomography/computed tomography (PET/CT) (68 …
Contributors SL wrote the first draft of the manuscript and submitted the manuscript. XZ, AS and ZH were in charge of the patient and collected the data, SL and YL did the follow-up of the patient, and YW and YL critically revised the manuscript. All authors approved the final version.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.
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