Sanjay B, Raj G A, Vishwakarma G
Central Institute of Orthopaedics, Safdarjung Hospital, New Delhi, India.
Arch Orthop Trauma Surg (1978). 1988;107(1):58-60. doi: 10.1007/BF00463527.
A 10-year-old child presented with small-cell osteosarcoma of the proximal end of the tibia. Pulmonary metastases appeared after a gap of 9 months of ablative surgery, as did late multiple extra-pulmonary skeletal metastases, including the hand and foot bones after 6 months of pulmonary metastases. These late extrapulmonary metastases appear to be secondary to pulmonary metastases.