{"id":5918,"date":"2017-06-13T17:44:39","date_gmt":"2017-06-13T09:44:39","guid":{"rendered":"http:\/\/https:\/\/medicine.nus.edu.sg\/pathweb\/?page_id=5918"},"modified":"2025-08-28T15:14:38","modified_gmt":"2025-08-28T07:14:38","slug":"a-real-life-case-part-2","status":"publish","type":"page","link":"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/musculoskeletal-system-demys\/a-real-life-case-part-2\/","title":{"rendered":"A Real Life Case Demo"},"content":{"rendered":"\n\n\t<p>Now that you have completed the quiz, here is the real case from the beginning&#8230;. <strong>Do the <a href=\"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/musculoskeletal-system-demys\/a-real-life-case-and-quiz\/\">QUIZ<\/a> before continuing!<\/strong><\/p>\n<p>History: A 12 year old boy presents with progressive swelling of the right wrist, associated with pain that is worse at night.<\/p>\n\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-content\/uploads\/2017\/06\/Gross-arm-vavr6w-618x289-1.jpg\" alt=\"Gross-arm-vavr6w-618x289\" itemprop=\"image\" height=\"289\" width=\"618\" title=\"Gross-arm-vavr6w-618x289\" onerror=\"this.style.display='none'\"  \/>\n\t<p><strong>Imaging: (X ray)<\/strong><\/p>\n\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-content\/uploads\/2017\/06\/Xr-10165z7.jpg\" alt=\"Xr-10165z7\" itemprop=\"image\" height=\"746\" width=\"1086\" title=\"Xr-10165z7\" onerror=\"this.style.display='none'\"  \/>\n\t<p>Surgery \u00a0is performed, and the amputation specimen is received in the Pathology Lab, and is seen by the pathologist.<\/p>\n<p>How does the pathologist handle the specimen, to prepare it for diagnosis?<\/p>\n<p>The first step is the &#8220;cut-up&#8221; or the trimming of the specimen, i.e. sampling of relevant areas for microscopy.<\/p>\n<p><strong>WARNING: \u00a0EXTREMELY GRAPHIC VIDEOS BELOW<\/strong><\/p>\nVideo I (<strong><a href=\"https:\/\/youtu.be\/dL4iWEd8zZI\" target=\"_blank\" rel=\"noopener\">Osteosarc Part I<\/a><\/strong>)<br \/>\n<iframe loading=\"lazy\" width=\"1358\" height=\"578\" src=\"https:\/\/player.vimeo.com\/video\/277421849?title=0&amp;byline=0&amp;portrait=0\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe>\nVideo II (<strong><a href=\"https:\/\/youtu.be\/CXqUYFwGItE\" target=\"_blank\" rel=\"noopener\">Osteosarc Part II<\/a><\/strong>)<br \/>\n<iframe loading=\"lazy\" width=\"1358\" height=\"578\" src=\"https:\/\/player.vimeo.com\/video\/277421858\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe>\n<p>After this, the specimen is cut into smaller pieces, and processed and subsequently made into microscopic glass slides. You will learn more about this during your Clinical Posting in Phase IV.<\/p>\n<p>Here is longitudinal section of the bones showing the tumour:<\/p>\n\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-content\/uploads\/2017\/06\/Gross-bone-2l1412g.jpg\" alt=\"Gross-bone-2l1412g\" itemprop=\"image\" height=\"996\" width=\"1328\" title=\"Gross-bone-2l1412g\" onerror=\"this.style.display='none'\"  \/>\n\t<p>Here is the microscopic slide showing the tumour. You can see the micro description when you attempt the <strong><a href=\"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/musculoskeletal-system-demys\/a-real-life-case-and-quiz\/\">QUIZ <\/a><\/strong>on the previous page..<\/p>\n\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-content\/uploads\/2017\/06\/histo-1-1arwszu.jpg\" alt=\"histo-1-1arwszu\" itemprop=\"image\" height=\"958\" width=\"1294\" title=\"histo-1-1arwszu\" onerror=\"this.style.display='none'\"  \/>\n\t<p><em>The pictures and videos on this page are provided by Dr Victor Lee.<\/em><\/p>\n<p><em>The quiz questions are provided by Dr Victor Lee.<\/em><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Please give us some feedback! Click <\/strong><a href=\"https:\/\/forms.office.com\/Pages\/ResponsePage.aspx?id=Xu-lWwkxd06Fvc_rDTR-gj2dS0OeRPRPg-ZYZPfzOJRUNjBNMUIwNlg0TVJTMUw5Uk5NRVI1M1hEVy4u\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>HERE<\/strong>\u00a0<\/a><strong>to do a Quick 4-question Survey on the Real Life case.<\/strong><\/p>\n\t\t\t<a href=\"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/musculoskeletal-system-demys\/i-bone-and-joint-diseases-clinical-principles\/\" target=\"_self\" rel=\"noopener\">\n\t\t\t\t\t\t\tI. Bone and Joint Diseases: Clinical Principles\n\t\t\t\t\t<\/a>\n\t\t\t<a href=\"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/musculoskeletal-system-demys\/ii-bone-and-joint-diseases-overview\/\" target=\"_self\" rel=\"noopener\">\n\t\t\t\t\t\t\tII. Bone and Joint Diseases: Overview\n\t\t\t\t\t<\/a>\n\t\t\t<a href=\"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/musculoskeletal-system-demys\/iii-main-diseases-of-bones-and-joints\/\" target=\"_self\" rel=\"noopener\">\n\t\t\t\t\t\t\tIII.Main Diseases of Bones and Joints\n\t\t\t\t\t<\/a>\n\t\t\t<a href=\"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/musculoskeletal-system-demys\/talking-pots-clinicopathologic-correlation\/\" target=\"_self\" rel=\"noopener\">\n\t\t\t\t\t\t\tIV.  Musculoskeletal System: Talking Pots \n\t\t\t\t\t<\/a>\n\t\t\t<a href=\"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/musculoskeletal-system-demys\/a-real-life-case-and-quiz\/\" target=\"_self\" rel=\"noopener\">\n\t\t\t\t\t\t\tV. A Real Life Case and Quiz\n\t\t\t\t\t<\/a>\n\t\t\t<a href=\"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/musculoskeletal-system-demys\/a-real-life-case-part-2\/\" target=\"_self\" rel=\"noopener\">\n\t\t\t\t\t\t\tVI. A Real Life Case Demo\n\t\t\t\t\t<\/a>\n\t\t\t<a href=\"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/musculoskeletal-system-demys\/one-page-summary-study-notes\/\" target=\"_self\" rel=\"noopener\">\n\t\t\t\t\t\t\tMusculoskeletal System: Study Notes and One Page Summary\n\t\t\t\t\t<\/a>\n\t\t\t<a href=\"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/musculoskeletal-system-demys\/\" target=\"_self\" rel=\"noopener\">\n\t\t\t\t\t\t\tMusculoskeletal System Chapter Home\n\t\t\t\t\t<\/a>\n\t\t\t<a href=\"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/\" target=\"_self\" rel=\"noopener\">\n\t\t\t\t\t\t\tPathology Demystified\n\t\t\t\t\t<\/a>\n\n","protected":false},"excerpt":{"rendered":"<p>Now that you have completed the quiz, here is the real case from the beginning&#8230;. Do the QUIZ before continuing! History: A 12 year old boy presents with progressive swelling of the right wrist, associated with pain that is worse at night. Imaging: (X ray) Surgery \u00a0is performed, and the amputation specimen is received in [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":5876,"menu_order":0,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-5918","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>NUS Pathweb<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/musculoskeletal-system-demys\/a-real-life-case-part-2\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:description\" content=\"Now that you have completed the quiz, here is the real case from the beginning&#8230;. Do the QUIZ before continuing! History: A 12 year old boy presents with progressive swelling of the right wrist, associated with pain that is worse at night. Imaging: (X ray) Surgery \u00a0is performed, and the amputation specimen is received in [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/medicine.nus.edu.sg\/pathweb\/pathology-demystified\/musculoskeletal-system-demys\/a-real-life-case-part-2\/\" \/>\n<meta property=\"og:site_name\" content=\"NUS Pathweb\" \/>\n<meta property=\"article:modified_time\" content=\"2025-08-28T07:14:38+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-content\/uploads\/2017\/06\/Gross-arm-vavr6w-618x289-1.jpg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" 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