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Pulmonary metastasised extraskeletal osteosarcoma
  1. Eva M T Bots,
  2. Pieter J Wismans,
  3. Lennert Slobbe
  1. Department of Internal Medicine, Harbor Hospital and Institute of Tropical Diseases, Rotterdam, The Netherlands
  1. Correspondence to Dr Eva M T Bots, Department of Internal Medicine, Harbor Hospital and Institute of Tropical Diseases, Haringvliet 2, Rotterdam 3011TD, The Netherlands; evabots{at}gmail.com

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A 63- year-old Caucasian man who smoked presented with lower back pain, dyspnoea and weight loss. A chest CT showed multiple bilateral cavitating lesions, consolidations and ground glass lesions (figure 1). Because a CT-guided pulmonary biopsy elsewhere revealed chronic inflammation with caseating granulomas, he had initially been treated with tuberculostatics and subsequently antifungal medication without clinical improvement. Since the patient had also developed …

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