Clinical Presentation

•        20 years male

•        Gradually increasing swelling in lower left thigh since 4 months

•        H/O pain at site

•        O/E: swelling of size 6 X 4 X 3 cm on lower end of left thigh, bony hard, fixed

Radiological features

•        Lytic eccentric lesion in the distal end of left femur

•        Lesion involving epi-metaphysis of bone with periosteal elevation and new bone formation.

•        Dense sclerotic margin surrounding the lytic lesion

FNAC was done twice from the swelling

The procedure was highly painful for the patient

Hemorrhagic aspirate was obtained