Arinima Punitha, Ishak Azlina
Kota Bharu Health Centre, Kelantan, Malaysia.
Department of Family Medicine, Universiti Sains Malaysia, Kelantan, Malaysia.
Korean J Fam Med. 2018 Jul;39(4):266-269. doi: 10.4082/kjfm.17.0117. Epub 2018 Jul 4.
A 16-year-old Malay boy presented to Kota Bharu Health Care Centre, Kelantan, with left shoulder pain after sustaining a fall. On further history taking, it was noted that the pain preceded the fall by 1 month. The early changes of osteosarcoma were visible on an X-ray during the initial presentation; however, this was missed by the primary care doctors. Three months later, the patient presented with persistent pain in the left shoulder and was diagnosed with osteosarcoma.
一名16岁的马来男孩因摔倒后出现左肩疼痛,前往吉兰丹哥打巴鲁医疗中心就诊。在进一步询问病史时,发现疼痛在摔倒前1个月就已出现。初次就诊时,X线片上可见骨肉瘤的早期变化;然而,初级保健医生并未发现。三个月后,患者因左肩持续疼痛前来就诊,被诊断为骨肉瘤。