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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 …
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