Downloaded from by on 11/21/17 from IP address Copyright ARRS. For personal use only; all rights reserved
|
|
- Theresa Benson
- 6 years ago
- Views:
Transcription
1 Downloaded from by on 11/21/17 from IP address opyright RRS. For personal use only; all rights reserved T he scapula is a small bone in which many neoplasms can develop. Few radiology articles report the types and appearances of these tumors. The Musculoskeletal Tumor Society has developed a classification system for shoulder girdle tumors that divides the scapula into two zones [1]: the acromial glenoid complex comprises the S2 region and the blade spine portion comprises the S1 region (Fig. 1). The system helps provide a functional classification for resections and reconstructions and a logical division of the abnormalties that develop in the scapula. Neoplasms of the S1 region include those that commonly develop in the flat bones (i.e., Ewing s sarcoma, multiple myeloma, and lymphoma). Neoplasms of the S2 region include those that commonly develop at the ends of the bone (i.e., giant cell tumors and aneurysmal bone cysts) [2]. We describe bone neoplasms that develop in the scapula and present examples of these tumors on radiographs, T scans, and MR images. Osteochondroma Osteochondroma (Fig. 2) is the most common primary benign neoplasm of the scapula with an incidence of 4.6% [3]. Usually, it is a single lesion located on the anterior surface of the scapular body. Patients with osteochondroma complain of a snapping sensation when internally rotating and abducting their arm. Surgical resection is the treatment of choice for osteochondroma. Osteoid Osteoma Osteoid osteoma is a rare tumor of the scapula with only 15 cases reported in the literature [4]. The location of this neoplasm remains unclear, though it has developed in the coracoid process and the subglenoid region [2, 4]. Most patients with osteoid osteoma complain of night pain that can be relieved with salicylates. Radiographic findings include sclerosis, but a nidus may be difficult to see on radiography. T may facilitate finding the nidus (Fig. 3). Treatment includes surgical excision of the nidus [2]. Fig. 1. Drawing shows system for classification of skeletal resection, developed by ommittee of Musculoskeletal Tumor Society [1]. S1 corresponds to scapular blade and S2 to glenoid acromial complex. Pictorial Essay Neoplasms of the Scapula Marcia F. lacksin 1 and Joseph enevenia 2 neurysmal one yst neurysmal bone cysts are lytic expansile lesions. They have been reported in the coracoid (Fig. 4), a region that embryologically corresponds with the end of a long bone [2, 5]. Fluid fluid levels can be seen on T scans and MR images [6]. These lesions usually develop in patients that are between 11 and 30 years old. Surgical therapy includes excision with cementation, bone grafting, or both [2]. hondrosarcoma hondrosarcoma is the most common malignant neoplasm of the scapula, found in both the S1 and S2 regions. These tumors have been seen in preexisting osteochondromas [2, 7] (Fig. 5). Radiographs may show cortical destruction by a lesion containing a calcified cartilaginous matrix, but the lesion can also appear lytic and expansile (Fig. 6). This neoplasm can Received ugust 30, 1999; accepted after revision November 16, Department of Radiology, University of Medicine and Dentistry of New Jersey, University Hospital, -320, 150 ergen St., Newark, NJ ddress correspondence to M. F. lacksin. 2 Department of Orthopedic Surgery, University of Medicine and Dentistry of New Jersey, University Hospital, Newark, NJ JR 2000;174: X/00/ merican Roentgen Ray Society JR:174, June
2 lacksin and enevenia Downloaded from by on 11/21/17 from IP address opyright RRS. For personal use only; all rights reserved Fig year-old man with osteochondroma of scapula., Scapular Y radiograph shows lesion (arrow) on anterior surface of body., xial T scan shows bony protuberance, in which cortex and medullary canal are contiguous with parent bone (arrowhead). Fig year-old man with asymptomatic osteoid osteoma., 99Tc-methyldiphosphonate bone scan obtained for prostatic cancer metastasis screening shows focus of increased tracer uptake (arrowhead ) in lateral scapular body., Frontal radiograph of scapula shows sclerotic lesion (arrowhead)., xial T scan reveals sclerotic lesion without well-defined nidus (arrowhead). D, Specimen radiograph reveals lesion (arrow). Histology was consistent with osteoid osteoma and healed nidus. D 1730 JR:174, June 2000
3 Downloaded from by on 11/21/17 from IP address opyright RRS. For personal use only; all rights reserved Neoplasms of the Scapula Fig year-old girl with aneurysmal bone cyst after pathologic fracture., Frontal radiograph shows large expansile lesion (arrows) in acromion., Sagittal oblique fat-suppressed T2-weighted MR image shows well-defined lesion (arrowhead) with large cystic component., xial spin-echo T1-weighted MR image shows homogeneous high signal intensity in cystic portion of lesion (arrowheads), consistent with degraded blood products. Fig year-old boy with chondrosarcoma in preexisting osteochondroma., Frontal radiograph shows osteochondroma (arrowheads) inferior to glenoid rim., xial T scan obtained at same time as shows osteochondroma and suspicious irregular cartilage cap (arrowheads)., Frontal radiograph obtained 1 year after resection shows lesion recurrence in glenoid. D, xial T scan shows large cartilage component surrounding bony glenoid (arrowheads) with cortical destruction. E, xial fat-saturated T2-weighted MR image shows high-signal-intensity cartilage component (arrowheads). D JR:174, June 2000 E 1731
4 Downloaded from by on 11/21/17 from IP address opyright RRS. For personal use only; all rights reserved lacksin and enevenia Fig year-old man with chondrosarcoma., Scapular Y radiograph shows lytic expansile lesion (arrowheads) in scapular body., Sagittal oblique fat-saturated T2-weighted MR image shows large high-signal-intensity cartilage component and infiltration of bone marrow (arrows). Ewing s Sarcoma Ewing s sarcoma frequently develops in the pelvis and lower extremities but it is also seen in the scapular body. This disease can have a permeative or lytic pattern (Fig. 8). Similar to the appearance of this tumor in other bones, a soft-tissue mass and periosteal reaction are frequent findings [9] (Figs. 8 and 8). Treatment is similar to that of osteosarcoma with neoadjuvant chemotherapy and limb salvage [7] (Fig. 8D). Malignant Fibrous Histiocytoma cause diagnostic difficulty on radiographs because the lesion can resemble an aneurysmal bone cyst or a giant cell tumor. hondrosarcoma is usually seen in older patients and has not been reported to contain fluid fluid levels. T may be helpful in revealing matrix calcification and the absence of fluid levels. MR imaging can depict the typical appearance of cartilage with a lobulated high-signal-intensity mass on T2-weighted images. Therapy includes limb salvage procedures [7]. Osteosarcoma Osteosarcoma is a frequent malignant neoplasm of the scapula [2]. oth chondroblastic and osteoblastic types have been reported (Fig. 7); however, we discuss the telangiectatic type. Similar to the chondrosarcoma, the telangiectatic type of osteosarcoma may be lytic and expansile (Figs. 7 7D) and can mimic benign scapular neoplasms. We have seen the telangiectatic type in the coracoid, but osteoblastic or central osteosarcomas are also seen in the S1 region. one formation in scapular osteosarcomas is frequent, and many tumors are associated with bulky soft-tissue masses [8]. Patients with osteosarcoma are usually between 11 and 30 years old [5, 7, 8]. Neoadjuvant chemotherapy followed by wide excision and limb salvage is commonly performed [7]. Malignant fibrous histiocytoma was recognized as a distinct abnormality in the 1960s. s a primary bone tumor of the appendicular skeleton, this neoplasm can occur at any age [10]. Fibrosarcoma has been reported in the scapula in older literature, but more recently, only one case of primary scapular malignant fibrous histiocytoma has been reported [8]. Our case is also primary to the scapula with a lytic lesion (Fig. 9). Though regions containing fibrous tissue can be seen on MR imaging of malignant fibrous histiocytoma, images often show only heterogeneously increased signal intensity on T2-weighted sequences [11] (Figs. 9 and 9). Treatment options are similar to those used for osteosarcoma [7]. Multiple Myeloma Multiple myeloma can appear with a honeycomb pattern or manifest as a lytic expansile Fig. 7. Osteosarcoma of scapula., Frontal radiograph of 25-year-old man with steosarcoma in scapular body producing neoplastic new bone (arrowheads)., Frontal radiograph of 7-year-old girl with telangiectatic type of osteosarcoma expanding coracoid (arrows). (Fig. 7 continues on next page) 1732 JR:174, June 2000
5 Downloaded from by on 11/21/17 from IP address opyright RRS. For personal use only; all rights reserved Neoplasms of the Scapula D Fig. 7. (continued) Osteosarcoma of scapula., xial fat-saturated T2-weighted MR image of patient in shows heterogeneous expansile lesion (solid arrows) with rim of high-signal-intensity edema (open arrows) surrounding scapula. D, Sagittal oblique fat-saturated T2-weighted MR image of patient in shows marked expansion of coracoid (arrowheads). E, Frontal radiograph of unconstrained total scapular prosthesis with cemented humeral component used for limb salvage of patient in. E Fig. 8. Ewing s sarcoma of scapula., Frontal radiograph of 17-year-old boy with palpable mass shows lytic lesion (arrows) in superior rim of scapular body., xial T scan of patient in shows destructive lesion with large soft-tissue mass (arrowheads)., xial T scan of 19-year-old woman shows rim of periosteal reaction (arrows). JR:174, June
6 Downloaded from by on 11/21/17 from IP address opyright RRS. For personal use only; all rights reserved lacksin and enevenia Fig year-old man with primary malignant fibrous histiocytoma of scapula., Frontal radiograph shows lytic lesion (arrowhead) in body of scapula., Sagittal oblique spin-echo T1-weighted MR image shows lesion (arrowheads) that is isointense to muscle with cortical destruction., Sagittal oblique fat-saturated T2-weighted MR image shows heterogeneous high signal intensity with soft-tissue extension (arrows). Fig. 10. Multiple myeloma., Scapular radiograph of 64-year-old man during arthrography shows lytic bubbly plasmacytoma (arrows) in body of scapula., Frontal radiograph of 80-year-old man with honeycomb appearance of multiple myeloma in humerus, acromion, and ribs shows discrete punched-out lesion in lateral cortex (arrowhead). plasmacytoma [12] (Fig. 10). Multiple myeloma and lymphoma are tumors of adulthood that originate in the marrow and occur in the scapula [5]. In our patient, the plasmacytoma occurred in the scapular body or the 1734 flat bone equivalent of the scapula. The appearance of multiple myeloma can resemble that of a giant cell tumor or an aneurysmal bone cyst. Treatment includes radiation therapy and chemotherapy [7]. In summary, the scapula may contain a wide range of benign and malignant tumors, many of which have similar lytic expansile radiographic appearances. enign lesions such as aneurysmal bone cysts or giant cell tumors JR:174, June 2000
7 Neoplasms of the Scapula Downloaded from by on 11/21/17 from IP address opyright RRS. For personal use only; all rights reserved occur in the S2 region. ommon malignancies such as chondrosarcomas and osteosarcomas occur throughout the scapula. Ewing s sarcoma, lymphoma, and multiple myeloma frequently occur in the S1 region. With the advancement of limb salvage procedures, it becomes incumbent on the radiologist to accurately identify tumor extent because it dictates the type of surgery required [1]. References 1. Enneking W, Dunham W, Gebhardt M, Malawar M, Pritchard D. system for the classification of skeletal resections. hir Organi Mov 1990;75[suppl 1]: Ogose, Sim FH, O onnor MI, Unni KK. one tumors of the coracoid process of the scapula. lin Orthop 1999;358: Galate JF, lue JM, Gaines RW. Osteochondroma of the scapula. Mo Med 1995;92: Moshieff R, Leibergall M, Ziv I, mir G, Segal D. Osteoid osteoma of the scapula. lin Orthop 1991;262: Samilson RL, Morris JM, Thompson RW. Tumors of the scapula. lin Orthop 1968;58: ory D, Fritsch S, ohen MD, et al. neurysmal bone cysts: imaging findings and embolotherapy. JR 1989;153: Gibbons LMH, ell RS, Wunder JS, et al. Function Notice to uthors after subtotal scapulectomy for neoplasm of bone and soft tissue. J one Joint Surg r 1998;80-: Kellie SJ, Pratt, Parham DM, Fleming ID, Meyer WH, Rao N. Sarcomas (other than Ewing s) of the flat bones in children and adolescents. ancer 1990;65: Reinus WR, Gilula L, Intergroup Ewing s Sarcoma Study ommittee. Radiology of Ewing s sarcoma: intergroup Ewing s sarcoma study. RadioGraphics 1984;4: oland PJ, Huvos G. Malignant fibrous histiocytoma of bone. lin Orthop 1986;204: Kransdorf MJ, Murphey MD. Imaging of soft tissue tumors, 1st ed. Philadelphia: Saunders, 1997: Meszaros WT. The many facets of multiple myeloma. Semin Roentgenol 1974;9: uthors of accepted manuscripts can now receive galley proofs via . The author s system must be able to read in- Hex files and have version 3.0 of dobe crobat Reader. The RRS Web site ( has a link to the dobe Web site, where authors can download free copies of the most recent version of the reader. JR:174, June
Radiologic Pathologic Correlation of Intraosseous Lipomas. Tim Propeck 1, Mary Anne Bullard 1, John Lin 1, Kei Doi 2, William Martel 1
Downloaded from www.ajronline.org by 148.251.232.83 on 04/10/18 from IP address 148.251.232.83. opyright RRS. For personal use only; all rights reserved Radiologic Pathologic orrelation of Intraosseous
More informationThe Radiology Assistant : Bone tumor - ill defined osteolytic tumors and tumor-like lesions
Bone tumor - ill defined osteolytic tumors and tumor-like lesions Henk Jan van der Woude and Robin Smithuis Radiology department of the Onze Lieve Vrouwe Gasthuis, Amsterdam and the Rijnland hospital,
More informationBone Tumors Clues and Cues
William Herring, M.D. 2002 Bone Tumors Clues and Cues In Slide Show mode, advance the slides by pressing the spacebar All Photos Retain the Copyright of their Authors Clues by Appearance of Lesion Patterns
More informationPrimary bone tumors > metastases from other sites Primary bone tumors widely range -from benign to malignant. Classified according to the normal cell
Primary bone tumors > metastases from other sites Primary bone tumors widely range -from benign to malignant. Classified according to the normal cell counterpart and line of differentiation. Among the
More informationMalignant bone tumors. Incidence Myeloma 45% Osteosarcoma 24% Chondrosarcoma 12% Lyphoma 8% Ewing s Sarcoma 7%
Malignant bone tumors Incidence Myeloma 45% Osteosarcoma 24% Chondrosarcoma 12% Lyphoma 8% Ewing s Sarcoma 7% Commonest primary bone sarcoma is osteosarcoma X ray Questions to ask 1. Solitary or Multiple
More informationImaging Findings of Sacral Tumors 1
Imaging Findings of Sacral Tumors 1 Seung Ho Kim, M.., Sung Hwan Hong, M.., Ja-Young hoi, M.., Sung Hye Koh, M.., Hye Won hung, M.., Jung-h hoi, M.., Heung Sik Kang, M.. The various pathologic conditions
More informationBone Tumours - a synopsis. Dr Zena Slim SpR in Histopathology QAH 2009
Bone Tumours - a synopsis Dr Zena Slim SpR in Histopathology QAH 2009 Aims General approach to diagnosis Common entities.and not so common ones. Mini quiz Challenge of bone tumour diagnosis Bone tumours
More informationThe Radiology Assistant : Bone tumor - well-defined osteolytic tumors and tumor-like lesions
Bone tumor - well-defined osteolytic tumors and tumor-like lesions Henk Jan van der Woude and Robin Smithuis Radiology department of the Onze Lieve Vrouwe Gasthuis, Amsterdam and the Rijnland hospital,
More informationAPMA 2018 Radiology Track Bone Tumors When to say Gulp!
APMA 2018 Radiology Track Bone Tumors When to say Gulp! DANIEL P. EVANS, DPM, FACFAOM Professor, Department of Podiatric Medicine and Radiology Dr. Wm. Scholl College of Podiatric Medicine Conflict of
More informationSkeletal metastases are the most common variety of bone tumors and should always be considered in the differential diagnosis, particularly in older
Dr Brajesh Nandan Skeletal metastases are the most common variety of bone tumors and should always be considered in the differential diagnosis, particularly in older patients. Cancers of the breast, prostate,
More informationMRI Findings of Giant Cell Tumors of the Spine
MRI of Spinal Tumors Musculoskeletal Imaging Clinical Observations Jong Won Kwon 1 Hye Won Chung 1,2 Eun Yoon Cho 3 Sung Hwan Hong 4 Sang-Hee Choi 1 Young Cheol Yoon 1 Sang Kyu Yi 1 Kwon JW, Chung HW,
More informationIliac aneurysmal bone cyst treated by cystoscopic controlled curettage
Accepted February 13th, 2004 Iliac aneurysmal bone cyst treated by cystoscopic controlled curettage Ludwig Schwering¹, Markus Uhl² and Georg W. Herget( )¹ ¹ Department of Orthopaedics and Traumatology,
More informationMRI XR, CT, NM. Principal Modality (2): Case Report # 2. Date accepted: 15 March 2013
Radiological Category: Musculoskeletal Principal Modality (1): Principal Modality (2): MRI XR, CT, NM Case Report # 2 Submitted by: Hannah Safia Elamir, D.O. Faculty reviewer: Naga R. Chinapuvvula, M.D.
More informationFluid-fluid levels in bone tumors: A pictorial review
Fluid-fluid levels in bone tumors: A pictorial review Poster No.: C-578 Congress: ECR 2009 Type: Educational Exhibit Topic: Musculoskeletal Authors: L. Figueroa Nasra, C. Martín Hervás, M. Tapia-Viñé,
More informationReview Course «Musculoskeletal Oncology» October 6, 2011 UNIKLINIK BALGRIST. Imaging of Bone and Soft Tissue. Tumors
Imaging of Bone and Soft Tissue Tumors Approach from a radiologist s point of view Florian Buck Radiology Radio- Radio- Oncologist Oncologist Orthopedist Orthopedist Patient Management Oncologist Oncologist
More informationCOPYRIGHT 2004 BY THE JOURNAL OF BONE AND JOINT SURGERY, INCORPORATED
84 COPYRIGHT 2004 BY THE JOURNAL BONE AND JOINT SURGERY, INCORPORATED Radiographic Evaluation of Pathological Bone Lesions: Current Spectrum of Disease and Approach to Diagnosis BY BENJAMIN G. DOMB, MD,
More informationIndex. Note: Page numbers of article titles are in boldface type.
Magn Reson Imaging Clin N Am 12 (2004) 185 189 Index Note: Page numbers of article titles are in boldface type. A Acromioclavicular joint, MR imaging findings concerning, 161 Acromion, types of, 77 79
More informationAn epidemiological survey of tumour or tumour like conditions in the scapula and periscapular region
SICOT J 206, 2, 34 Ó The Authors, published by EDP Sciences, 206 DOI: 0.05/sicotj/206023 Available online at: www.sicot-j.org RESEARCH OPEN ACCESS An epidemiological survey of tumour or tumour like conditions
More informationPrimary Tumors of Ribs
Primary Tumors of Ribs Frank E. Schmidt, M.D., and Max J. Trummer, Capt, MC, USN ABSTRACT An analysis of 50 consecutive patients with primary rib tumors operated on at the U.S. Naval Hospital, San Diego,
More informationPeriosteal Osteosarcoma Arising from the Rib and Scapula: Imaging Features in Two Cases
Case Report Musculoskeletal Imaging http://dx.doi.org/10.3348/kjr.2014.15.3.370 pissn 1229-6929 eissn 2005-8330 Korean J Radiol 2014;15(3):370-375 Periosteal Osteosarcoma Arising from the Rib and Scapula:
More informationTypical skeletal location and differential diagnosis of bone tumors.
Typical skeletal location and differential diagnosis of bone tumors. Poster No.: C-2418 Congress: ECR 2015 Type: Educational Exhibit Authors: M. Barros, L. A. Ferreira, Y. Costa, P. J. V. Coelho, F. Caseiro
More informationOriginal Report. Nontraumatic Avulsions of the Pelvis. Liem T. Bui-Mansfield 1 3 Felix S. Chew 2 Leon Lenchik 2 Mitch J. Kline 4 Carol A.
Downloaded from www.ajronline.org by 148.251.232.83 on 05/12/18 from IP address 148.251.232.83. opyright RRS. For personal use only; all rights reserved Liem T. ui-mansfield 1 3 Felix S. hew 2 Leon Lenchik
More informationPrimary bone tumors according to the WHO classification: a review of 13 years with illustrative examples
Primary bone tumors according to the WHO classification: a review of 13 years with illustrative examples Poster No.: C-1741 Congress: ECR 2015 Type: Educational Exhibit Authors: J. Silva, M. A. Ramírez
More informationFocal Sclerosis in a Vertebra: Differential Diagnosis of a Solitary Osteoblastic Metastasis
July 2001 Focal Sclerosis in a Vertebra: Differential Diagnosis of a Solitary Osteoblastic Metastasis Alice L. Fisher, Harvard Medical School Year IV Review of the Normal Anatomy of a Lumbar Vertebra:
More informationOsteoid osteoma of a scapula: a case report in a 34 years old woman
Case Report Medical Journal of Islamic Republic of Iran, Vol. 26, No. 3, Aug. 2012, pp.143-146 Osteoid osteoma of a scapula: a case report in a 34 years old woman Hojjat Hossein Pourfeizi 1, Jafar Ganjpour
More informationMark D. Murphey, MD, FACR
Fundamental Concepts of Musculoskeletal Neoplasm: CT and MRI Mark D. Murphey, MD, FACR Important Features in Evaluation of Musculoskeletal Masses Differential diagnosis Preoperative assessment and staging
More informationLAC + USC.
Jeff McDavit,, M.D. LAC + USC mcdavit@usc.edu Clinical History 55 year old male with large, deep, non- tender left thigh mass. Seen at LAC+USC Med Ctr FNA clinic No h/o trauma or radiation Vimentin
More informationOlecranon lesions: Radiographic Appearances with Cross Sectional Imaging Correlation
Olecranon lesions: Radiographic Appearances with Cross Sectional Imaging Correlation Poster No.: P-0107 Congress: ESSR 2014 Type: Educational Poster Authors: U. Kularatne, N. Evans, S. L. J. James ; Nottingham/UK,
More informationMRI evaluation of the shoulder: Beyond rotator cuff
MRI evaluation of the shoulder: Beyond rotator cuff Poster No.: C-2447 Congress: ECR 2015 Type: Educational Exhibit Authors: C. Rumie, A. Vasquez, J. A. Abreu, A. P. Guarnizo, O. Rivero, 1 1 2 3 1 1 1
More informationProximal Tibiofibular Joint: An Often-Forgotten Cause of Lateral Knee Pain
Forster et al. Tibiofibular Joint Disorders Musculoskeletal Imaging Pictorial Essay Downloaded from www.ajronline.org by 37.44.192.55 on 01/17/18 from IP address 37.44.192.55. opyright RRS. For personal
More informationMARK D. MURPHEY MD, FACR. Physician-in-Chief, AIRP. Chief, Musculoskeletal Imaging
ALPHABET SOUP AND CYSTIC LESIONS OF THE BONE MARK D. MURPHEY MD, FACR Physician-in-Chief, AIRP Chief, Musculoskeletal Imaging ALPHABET SOUP AND CYSTIC LESIONS OF THE BONE Giant cell tumor (GCT) Unicameral
More informationImaging in Sternal Tumours: A Pictorial Review
Signature: DOI: 10.12659/PJR.901226 REVIEW RTILE Received: 2016.08.24 ccepted: 2016.10.31 Published: 2017.08.23 uthors ontribution: Study Design Data ollection Statistical nalysis D Data Interpretation
More informationImaging Findings Of Bone Tumors: A Pictorial Review
Imaging Findings Of Bone Tumors: A Pictorial Review Poster No.: C-2511 Congress: ECR 2015 Type: Educational Exhibit Authors: M. Limeme, N. Benzina, A. BelKhiria, H. Zaghouani, S. Majdoub, N. Mallat, H.
More informationAneurysmal bone cyst of the scapula A case report
Acta Orthop. Belg., 2009, 75, 684-689 CASE REPORT Aneurysmal bone cyst of the scapula A case report Panagiotis MEGAS, Zafiria G. PAPATHANASSIOU, George KASIMATIS, Dionysios J. PAPACHRISTOU From the University
More informationRecommendations for cross-sectional imaging in cancer management, Second edition
www.rcr.ac.uk Recommendations for cross-sectional imaging in cancer management, Second edition Musculoskeletal tumours Faculty of Clinical Radiology www.rcr.ac.uk Contents Primary bone tumours 3 Clinical
More informationRecognizing Cartilaginous Tumors: Spectrum of Imaging Characteristics with Radiologic-Pathologic correlation.
Recognizing Cartilaginous Tumors: Spectrum of Imaging Characteristics with Radiologic-Pathologic correlation. Poster No.: C-1451 Congress: ECR 2012 Type: Educational Exhibit Authors: E. Barcina García,
More informationNon-monomelic synchronous primary multicentric chondrosarcoma : A case report
Acta Orthop. Belg., 2005, 71, 242-248 CASE REPORT Non-monomelic synchronous primary multicentric chondrosarcoma : A case report Yolanda HERNANZ GONZÁLEZ, Javier SALAMANCA, Carlos RESINES ERASUN, Francisco
More informationSMALL ROUND BLUE CELL LESION OF BONE
DISCLOSURE SMALL ROUND BLUE CELL LESION OF BONE Dr. Alistair Jordan University of South Alabama No financial support or endorsement OBJECTIVES Describe the more common small round cell lesions of bone
More informationVALORACIÒN RADIOLÓGICA DE LA LESIÒN ÒSEA SOLITARIA IMAGENOLOGIA MEDICA UNIVERSIDAD HISPANOAMERICANA
VALORACIÒN RADIOLÓGICA DE LA LESIÒN ÒSEA SOLITARIA IMAGENOLOGIA MEDICA UNIVERSIDAD HISPANOAMERICANA TUMORES ÓSEOS SE PRESENTAN POR RANGOS DE EDAD, PRINCIPALMENTE: MENORES DE 20 AÑOS 20 A 40 AÑOS MAYORES
More informationBone/Osteoid Producing Lesions
Chapter 2 Bone/Osteoid Producing Lesions Introduction There are many lesions that are associated with reactive new bone formation; this chapter predominantly covers those in which deposition of osteoid/bone
More informationCommon Primary Tumors of Bone
Special Report Common Primary Tumors of Bone Primary bone tumors are a relatively rare occurrence, however, they can have serious deleterious consequences. Many possess the ability to degenerate into malignant
More informationBone tumors. RMG: jan
Bone tumors RMG: jan 217. @Kijohs KIZZA JOHN KIJOHS Diseases arising in bone Lipoma Fibrous cortical defects Non-ossifying fibroma Bone island Benign simple cysts Enchondroma Osteochondroma Osteoid osteoma
More informationSkeletal Radiology. Solitary (unicameral) bone cyst. The fallen fragment sign revisited
Skeletal Radiol (1989) 18:261-265 Skeletal Radiology Solitary (unicameral) bone cyst The fallen fragment sign revisited S. Struhl, M.D., C. Edelson, M.D., H. Pritzker, M.D., L.P. Seimon, M.D., and H.D.
More informationEvaluation of Bone tumors with Magnetic Resonance Imaging and correlation with surgical and gross pathological findings.
9-137 611 Evaluation of Bone tumors with Magnetic Resonance Imaging and correlation with surgical and gross pathological findings. S BAWEJA, R ARORA, S SINGH, A SHARMA, P NARANG, S GHUMAN, SK KAPOOR, S
More informationA review of Tumoral lesions of the shoulder
A review of Tumoral lesions of the shoulder Poster No.: P-0109 Congress: ESSR 2013 Type: Scientific Exhibit Authors: M. M. Milán Rodríguez, Á. E. Moreno Puertas, J. M. Giménez, 1 1 1 1 2 1 A. Rubio Fernández,
More informationCase Report Intramedullary Chondrosarcoma of Proximal Humerus
Hindawi Publishing Corporation Case Reports in Radiology Volume 2012, Article ID 642062, 7 pages doi:10.1155/2012/642062 Case Report Intramedullary Chondrosarcoma of Proximal Humerus Pratiksha Yadav, Dolly
More informationIntroduction to Musculoskeletal Tumors. James C. Wittig, MD Orthopedic Oncologist Sarcoma Surgeon
Introduction to Musculoskeletal Tumors James C. Wittig, MD Orthopedic Oncologist Sarcoma Surgeon www.tumorsurgery.org Definitions Primary Bone / Soft tissue tumors Mesenchymally derived tumors (Mesodermal)
More informationPictorial Essay. CT of Calcifying Jaw Bone Diseases
Pictorial Essay CT of Calcifying Jaw one Diseases Koichi Yonetsu 1 and Takashi Nakamura Downloaded from www.ajronline.org by 46.3.204.207 on 01/08/18 from IP address 46.3.204.207. Copyright RRS. For personal
More informationRadiography in the Initial Diagnosis of Primary Bone Tumors
Residents Section Structured Review Costelloe and Madewell Radiography of Primary Bone Tumors Residents Section Structured Review Colleen M. Costelloe 1 John E. Madewell Costelloe CM, Madewell JE Keywords:
More informationMultifocal fibrous Dysplasia with enchondroma-like areas: Fibrocartilaginous Dysplasia
ISPUB.COM The Internet Journal of Pathology Volume 7 Number 2 Multifocal fibrous Dysplasia with enchondroma-like areas: Fibrocartilaginous Dysplasia V Monappa, R Kudva Citation V Monappa, R Kudva. Multifocal
More informationHeterogeneous osteoblastic activity in the right ischium of unclear etiology seen on NaF18-PET/CT
CASE REPORT Heterogeneous osteoblastic activity in the right ischium of unclear etiology seen on NaF18-PET/CT Aung Zaw Win, Carina Mari Aparici Dept. Radiology, Nuclear Medicine section, San Francisco
More informationMusculoskeletal Sarcomas
Musculoskeletal Sarcomas Robert C. Orth, M.D., Ph.D. Edward B. Singleton Department of Pediatric Radiology Texas Children s Hospital Page 0 xxx00.#####.ppt 9/23/2012 9:01:18 AM No disclosures Page 1 xxx00.#####.ppt
More informationThe skeleton consists of: Bones: special connective tissue, hard. Cartilage: special connective tissue, less hard than bones. Joints: joint is the
The skeleton consists of: Bones: special connective tissue, hard. Cartilage: special connective tissue, less hard than bones. Joints: joint is the location at witch two bones make contact, whereas ligaments
More informationMRI Of Locally Recurrent Soft Tissue Tumors Of The Musculoskeletal System
ISPUB.COM The Internet Journal of Radiology Volume 5 Number 2 MRI Of Locally Recurrent Soft Tissue Tumors Of The Musculoskeletal System C Costelloe, A Yasko, W Murphy, R Kumar, V Lewis, P Lin, R Stafford,
More informationAssociated Terms: Osteosarcoma, Bone Cancer, Limb Salvage, Appendicular Osteosarcoma, Pathologic Fracture, Chondrosarcoma
1 of 9 9/29/2014 8:25 PM Associated Terms: Osteosarcoma, Bone Cancer, Limb Salvage, Appendicular Osteosarcoma, Pathologic Fracture, Chondrosarcoma The term "ACVS Diplomate" refers to a veterinarian who
More informationA Modified Lodwick-Madewell Grading System for the Evaluation of Lytic Bone Lesions
Musculoskeletal Imaging Original Research Caracciolo et al. Evaluation of Lytic one Lesions Musculoskeletal Imaging Original Research Jamie T. Caracciolo 1 H. Thomas Temple 2 G. Douglas Letson 3 Mark J.
More informationBubbly Lesions of Bone
Residents Section Pattern of the Month w79 08.18.09 Eisenberg Residents Section Pattern of the Month Residents inradiology Ronald L. Eisenberg 1 Eisenberg RL Keywords: bubbly lesions, fegnomashic, skeletal
More informationMRI and CT Evaluation of Primary Bone and Soft- Tissue Tumors
749 Alex M. Aisen1 William Martel1 Ethan M. Braunstein1 Kim I. McMillin1 William A. Phillips2 Thomas F. KIing2 Received June 10, 1985; accepted after revision December 23, 1985. Presented at the annu meeting
More informationBone and Joint Part 2. Leslie G Dodd, MD
Bone and Joint Part 2 Leslie G Dodd, MD Relative rates of cancer Sarcomas are relatively uncommon tumors New cancer cases 2007 All sites 1.4 million prostate 218,890 lung 213,380 breast 180,510 Soft tissue
More informationImaging of sacral tumors
Neurosurg Focus 15 (2):Article 2, 2003, Click here to return to Table of Contents Imaging of sacral tumors BETTY JEAN MANASTER, M.D., PH.D., AND TRAVIS GRAHAM, M.D. Department of Radiology, University
More informationFluid fluid levels in bone tumors and tumoral lesions - Pictorial essay
Review Fluid fluid levels in bone tumors and tumoral lesions - Pictorial essay Subbarao Kakarla 1,* 1 KIMS Foundation and Research Centre, Minister Road, Secunderabad - 500003, Telangana, India Abstract
More informationA peculiar location of a rare bone tumor: sternal lipoma
A peculiar location of a rare bone tumor: sternal lipoma Poster No.: P-0033 Congress: ESSR 2016 Type: Authors: Keywords: DOI: Scientific Poster Z. Akkaya, C. Uzun, S. Enon, G. Kocaman, G. Sahin; Ankara/TR
More informationPrimary bone tumours of the thoracic skeleton: an audit of the Leeds regional bone tumour registry
850 Thorax 1990;45:850-855 Primary bone tumours of the thoracic skeleton: an audit of the Leeds regional bone tumour registry University Department of Orthopaedic Surgery, St James's University Hospital,
More informationGiant cell tumour of the sternum-two cases
Giant cell tumour of the sternum-two cases Nishaa.P 1, Raghuram.P 2, Navin patil 3, Jaipal B.R 4 Akkamahadevi patel 5 Assistant Professor ESIC medical college and PGIMSR 1 Professor and HOD, 2 Professor
More informationMalignant Transformation of an Aneurysmal Bone Cyst to Fibroblastic Osteosarcoma
Case Report & Literature Review Malignant Transformation of an neurysmal one Cyst to Fibroblastic Osteosarcoma kash P. Kansagra, MD, MS, Jennifer J. Wan, MD, Kavi K. Devulapalli, MD, ndrew E. Horvai, MD,
More informationUSCAP 2014 Common problems in bone and soft tissue pathology: Cartilage tumors
USCAP 2014 Common problems in bone and soft tissue pathology: Cartilage tumors Andrew Horvai MD PhD Clinical Professor, Pathology UCSF, San Francisco, CA Outline Common intramedullary tumors Enchondroma
More informationChondrosarcoma of 5 th metatarsal Right Foot: An Unusual Presentation and Review of Literature
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 17, Issue 8 Ver. 13 (August. 2018), PP 27-33 www.iosrjournals.org Chondrosarcoma of 5 th metatarsal Right
More informationGrading of Bone Tumors
Grading of Bone Tumors Joon Hyuk Choi, M.D. Department of Pathology College of Medicine, Yeungnam University Introduction to grading system of bone tumor used at Mayo Clinic WHO Histologic Classification
More informationA comprehensive review of osseous Ewing sarcoma: clinical data, skeletal location and imaging features.
A comprehensive review of osseous Ewing sarcoma: clinical data, skeletal location and imaging features. Poster No.: C-2233 Congress: ECR 2014 Type: Authors: Educational Exhibit R. Gil 1, P. Pereira 1,
More informationUnusual location of bone sarcoma in children
Unusual location of bone sarcoma in children Poster No.: C-1517 Congress: ECR 2014 Type: Educational Exhibit Authors: S. JERBI, A. Khalfalli, G. Abid, O. Bradai, N. chouchane, H. HAMZA; Mahdia/TN Keywords:
More informationSymptoms and signs associated with benign and malignant proximal fibular tumors: a clinicopathological analysis of 52 cases
Sun et al. World Journal of Surgical Oncology (2017) 15:92 DOI 10.1186/s12957-017-1162-z RESEARCH Open Access Symptoms and signs associated with benign and malignant proximal fibular tumors: a clinicopathological
More informationUltrasound Evaluation of Costochondral Abnormalities in Children Presenting With Anterior Chest Wall Mass
Pediatric Imaging Original Research Supakul and Karmazyn Ultrasound of ostochondral bnormalities Pediatric Imaging Original Research Nucharin Supakul 1 oaz Karmazyn Supakul N, Karmazyn Keywords: anterior
More informationDisclosures. Giant Cell Rich Tumors of Bone. Outline. The osteoclast. Giant cell rich tumors 5/21/11
Disclosures Giant Cell Rich Tumors of Bone Andrew Horvai, MD, PhD Associate Clinical Professor, Pathology This lecture discusses "off label" uses of a number of pharmaceutical agents. The speaker is describing
More informationFEGNOMASHIC: from x-ray to MRI
FEGNOMASHIC: from x-ray to MRI Poster No.: C-2441 Congress: ECR 2015 Type: Educational Exhibit Authors: S. Fouassier, A. L. C. Duarte, C. Ruivo, J. Velez ; Évora/PT, 1 2 1 2 3 1 3 Coimbra/PT, PT Keywords:
More informationGeneral Approach to Lytic Bone Lesions D. Lee Bennett, MD, MA, Georges Y. El Khoury, MD Appl Radiol. 2004;33(5)
General Approach to Lytic Bone Lesions D. Lee Bennett, MD, MA, Georges Y. El Khoury, MD Appl Radiol. 2004;33(5) www.medscape.com Abstract and Introduction Abstract When interpreting musculoskeletal radiographs,
More informationFunctional Orthopedic Imaging Capturing Motion, Flow and Perfusion. Case Study Brochure Centre University Hospital Nancy.
Capturing Motion, Flow and Perfusion dynamic volume CT Case Study Brochure Centre University Hospital Nancy http://www.toshibamedicalsystems.com Toshiba Medical Systems Corporation 2013. All rights reserved.
More informationRESEARCH INFORMATION AWARENESS SUPPORT PRIMARY BONE CANCER CHONDROSARCOMA. Visit bcrt.org.uk for more information
RESEARCH INFORMATION AWARENESS SUPPORT PRIMARY BONE CANCER CHONDROSARCOMA Visit bcrt.org.uk for more information CONTENTS What is it? Who does it affect? Symptoms Types of Chondrosarcoma Cause and Risk
More information* I have no disclosures or any
Howard Rosenthal, M.D. Associate Professor of Orthopedic Surgery University of Kansas Sarcoma Center I have no disclosures or any conflicts related to the content of this presentation. Objectives 1. Describe
More informationSonographic Findings of Adductor Insertion Avulsion Syndrome With Magnetic Resonance Imaging Correlation
Case Report Sonographic Findings of Adductor Insertion Avulsion Syndrome With Magnetic Resonance Imaging Correlation Jennifer S. Weaver, MD, Jon A. Jacobson, MD, David A. Jamadar, MBBS, Curtis W. Hayes,
More informationIncidental bone tumors are asymptomatic lesions that are. Incidental Bone Lesions. When to Refer to the Tumor Specialist
Bulletin of the NYU Hospital for Joint Diseases 2012;70(4):235-40 235 Incidental Bone Lesions When to Refer to the Tumor Specialist LT Suezie Kim, M.D., M.C., U.S.N., Catherine N. Laible, M.D., Leon D.
More informationBone Marrow Signal Alteration in the Spine and Sacrum
Residents Section Pattern of the Month Long et al. one Marrow Signal lteration in the Spine and Sacrum Residents Section Pattern of the Month Downloaded from www.ajronline.org by 37.44.204.179 on 12/22/17
More informationChondroblastoma of bone
Chronology Chondroblastoma of bone LONG-TERM RESULTS AND FUNCTIONAL OUTCOME AFTER INTRALESIONAL CURETTAGE R. Suneja, R. J. Grimer, M. Belthur, L. Jeys, S. R. Carter, R. M. Tillman, A. M. Davies From The
More informationGenitourinary Imaging Pictorial Essay
rown et al. MRI of the Female Pelvis Genitourinary Imaging Pictorial Essay Downloaded from www.ajronline.org by 37.44.202.41 on 12/17/17 from IP address 37.44.202.41. Copyright RRS. For personal use only;
More informationEthan M. Braunstein, M.D. 1, Steven A. Goldstein, Ph.D. 2, Janet Ku, M.S. 2, Patrick Smith, M.D. 2, and Larry S. Matthews, M.D. 2
Skeletal Radiol (1986) 15:27-31 Skeletal Radiology Computed tomography and plain radiography in experimental fracture healing Ethan M. Braunstein, M.D. 1, Steven A. Goldstein, Ph.D. 2, Janet Ku, M.S. 2,
More informationGIANT CELL-RICH OSTEOSARCOMA: A CASE REPORT
Nagoya J. Med. Sci. 59. 151-157, 1996 CASE REPORTS GIANT CELL-RICH OSTEOSARCOMA: A CASE REPORT KEIJI SATO!, SHIGEKI YAMAMURA!, HISASHI IWATA!, HIDESHI SUGIURA 2, NOBUO NAKASHIMA 3 and TETSURO NAGASAKA
More informationMUSCULOSKELETAL RADIOLOGY
MUSCULOSKELETAL RADOLOGY SECTON www.cambridge.org Achilles tendonopathy/rupture Characteristics Describes pathology of the combined tendon of the gastro-soleus complex, which inserts onto the calcaneum.
More informationDepartment of Radiology, University of Szeged. Imaging of the skeleton
Imaging of the skeleton Methods of examination: plain x-ray (radiography, densitometry) x-ray with contrast material (fistulography, angiography) ultrasound (b-mode, Doppler, color, duplex) computed tomography
More informationThe role of Imaging in Ewing sarcoma
The role of Imaging in Ewing sarcoma Poster No.: P-0109 Congress: ESSR 2014 Type: Educational Poster Authors: D. Beomonte Zobel, C. Dell'atti, M. Bartocci, V. Martinelli, N. 1 2 2 2 1 1 1 2 Magarelli,
More informationBursa Formation and Synovial Chondrometaplasia Associated with Osteochondromas
Bursa Formation and Synovial Chondrometaplasia Associated with Osteochondromas ANITA M. BORGES, M. D., ANDREW G. HUVOS, M. D., AND JULIUS SMITH, M. D. Borges, Anita M., Huvos, Andrew G., and Smith, Julius:
More informationISSN: DISTRIBUTION OF BONE AND CARTILAGINOUS TUMORS IN PEDIATRIC AGE GROUP IN WESTERN UTTAR-PRADESH: AN EVALUATIVE STUDY
: 289-295 ISSN: 2277 4998 DISTRIBUTION OF BONE AND CARTILAGINOUS TUMORS IN PEDIATRIC AGE GROUP IN WESTERN UTTAR-PRADESH: AN EVALUATIVE STUDY QADRI S, HASAN M, AKHTAR K * AND SHERWANI RK The Departments
More informationImaging Modalities: Clinical Reasoning and Key Instructional Elements: Radiography
Imaging Modalities: Clinical Reasoning and Key Instructional Elements: Radiography Michael D. Ross, PT, DHSc, OCS mross@daemen.edu Disclosure No relevant financial relationship exists Objectives Determine
More informationSpine bone tumors in children. A pictorial review
Spine bone tumors in children. A pictorial review Poster No.: C-1921 Congress: ECR 2015 Type: Educational Exhibit Authors: E. García Esparza, S. I. Sirvent Cerdá, M. Á. López Pino, I. Solís Muñiz, G. Albi
More informationUniversity Journal of Surgery and Surgical Specialities
University Journal of Surgery and Surgical Specialities Volume 1 Issue 1 2015 EXTRA SKELETAL MESENCHYMAL CHONDROSARCOMA :A CASE REPORT Rajaraman R Subbiah S Navin Naushad Kilpaulk Medical College Abstract:
More informationA Guide to Ewing Sarcoma
A Guide to Ewing Sarcoma Written By Physicians For Physicians WHAT IS EWING SARCOMA (ES) ES is a malignant bone tumor that can evolve from any bone in the body (and occasionally soft tissue) and mostly
More informationClear Cell Chondrosarcoma of the Sacrum
Clear Cell Chondrosarcoma of the Sacrum Yasunobu Iwasaki MD 1, Tetsuji Yamamoto MD (!) 2, Mitsuo Tsuji MD 1, Akira Kurihara MD 1, Masaaki Uratsuji MD 1, Norihide Sha MD 1, and Shinichi Yoshiya MD 2 1 Department
More informationMalignant Bone Tumours. PathoBasic, Daniel Baumhoer
Malignant Bone Tumours PathoBasic, 20.03.18 Daniel Baumhoer FNCLCC Grading The differentiation score is defined as the extent to which a tumor resembles adult mesenchymal tissue (score 1), the extent to
More information10 th Joint MSK/HSS/IOR Course in. Musculoskeletal Tumor Pathology & Clinical Oncology OCTOBER 10-12, 2017 ZUCKERMAN RESEARCH CENTER NEW YORK CITY
10 th Joint MSK/HSS/IOR Course in Musculoskeletal Tumor Pathology & Clinical Oncology OCTOBER 10-12, 2017 ZUCKERMAN RESEARCH CENTER NEW YORK CITY COURSE OVERVIEW This well-received annual course is designed
More informationORTHOPAEDIC ONCOLOGY OITE REVIEW COURSE
ORTHOPAEDIC ONCOLOGY OITE REVIEW COURSE Richard D. Lackman, MD FACS Director, Orthopaedic Oncology Center Cancer Institute Introduction In the evaluation of a patient with a bone tumor, there are several
More informationUnusual presentation of giant cell tumor originating from a facet joint of the thoracic spine in a child: a case report and review of the literature
Siribumrungwong et al. Journal of Medical Case Reports 2013, 7:178 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Unusual presentation of giant cell tumor originating from a facet joint of the
More informationPrimary Intraosseus Xanthoma Involving the Proximal Femur in a Normolipidemic Patient: A Case Report
CASE REPORT Hip Pelvis 28(3): 182-186, 2016 http://dx.doi.org/10.5371/hp.2016.28.3.182 Print ISSN 2287-3260 Online ISSN 2287-3279 Primary Intraosseus Xanthoma Involving the Proximal Femur in a Normolipidemic
More information