Background. - The Rothmund-Thomson syndrome is a hereditary dermatosis
frequently accompanied by less well-known non dermatologic features i
ncluding osteogenic sarcoma. Case report. - A girl developed the class
ical dermatologic features of the Rothmund-Thomson syndrome since the
first months of life. When she was 6 years old, she suffered from pain
ful limitation of motion of her left leg. X-rays, MNR imaging and bone
scintigraphy showed typical features of osteosarcoma of the distal po
rtion of the femur. Diagnosis was confirmed by histologic examination
through open biopsy. The search for metastatic lesions war negative. T
he patient was given chemotherapy and the tumor was resected 45 days l
ater followed by postoperative chemotherapy. Conclusion. - About 12 si
milar cases of osteosarcoma have been reported in patients with the Ro
thmund-Thomson syndrome. A review of literature allows to recognize so
me peculiar features of such association.