case_images: PMC11794448_01
case_images: The X-ray shows a distal femur osteolytic lesion with a soap bubble appearance, a narrow zone of transition, a soft tissue component, and a sparing knee joint in the X-ray taken 6 months before pregnancy.
case_images: rjaf035f1.jpg
case_images: PMC11794448_01_rjaf035f1.jpg
case_images: f1
case_images: She had a previous X-ray that revealed an aggressive, Enneking stage III osteolytic lesion involving the medial femoral condyle, characterized by a shallow bubble appearance and a narrow zone of transition (Figs 1 and 2).
case_images: X-ray that was taken 4 months before presentation showing the tumor was very aggressive with a narrow zone of transition, and mass is progressively increased.
case_images: rjaf035f2.jpg
case_images: PMC11794448_01_rjaf035f2.jpg
case_images: f2
case_images: She had a previous X-ray that revealed an aggressive, Enneking stage III osteolytic lesion involving the medial femoral condyle, characterized by a shallow bubble appearance and a narrow zone of transition (Figs 1 and 2).
case_images: Ultrasound confirmation of pregnancy.
case_images: rjaf035f3.jpg
case_images: PMC11794448_01_rjaf035f3.jpg
case_images: f3
case_images: The obstetric evaluation confirmed the normal fetus status (Fig. 3).
case_images: Marginal resected tumor margin and frozen section were taken for confirmation of tumor margin.
case_images: rjaf035f4.jpg
case_images: PMC11794448_01_rjaf035f4.jpg
case_images: f4
case_images: The surgical procedure involved a medial sub vastus approach for marginal resection of the tumor (Fig. 4), followed by a mega-prosthesis knee with 10 mm polyethylene (Fig. 5).