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March 15, 1985

Tibial Lesion in a Laotian Girl

Author Affiliations

From the Department of Radiology, University of Minnesota, Minneapolis.

JAMA. 1985;253(11):1593-1595. doi:10.1001/jama.1985.03350350087027

History  A 14-year-old Laotian girl presented with a history of persistent and increasing pain in the proximal segment of the left leg after being hit with a hockey stick one month before. Over the past several months, she had a 6.8- to 9.0-kg (15- to 20-lb) weight loss and had recently experienced lethargy and fever with temperature to 38.8 °C (102 °F).The patient had spent the first 12 years of life in Laos. While she was in Laos just prior to her arrival in the United States, a "lump" in the right side of her neck had been resected. Information covering the pathological interpretation of the sections obtained from the resected mass in the neck is withheld.Physical examination showed a cachectic Laotian girl with a tender, swollen left leg in its proximal segment. Cervical adenopathy and a 1.5×1.5-cm right supraclavicular mass were present.A roentgenogram of the left