Man 51 yo detected his right ankle pain and swollen, difficult to walk ( see photo). There is a mass at achille tendon with small skin nodule ).
Ultrasound scan of this mass.
US 1= this mass is solid, #5 cm round bordered, displacing achille tendon)
US 2 = vascular supply from peripheric wall
US 3 = SMI can see more vascular structure intra tumor
US 4 = ultrasound detected big lymph node at right inguinal region
US 5 video : Doppler of vascular supply this lymph node suspected metastasis.
X-Rays the right foot : the bone is normal.
Biopsy of the lymph node at right inguinal region is metastasis from sarcoma.
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