Multicentric Osteosarcoma

Aug 7, 2016 by in MUSCULOSKELETAL IMAGING Comments Off on Multicentric Osteosarcoma

On radiographs multiple mainly sclerotic lesions are easily detected. The epiphyseal involvement is frequent in this lesion High-grade osteoblastic osteosarcoma usually extensively sclerotic with low cellularity and diminished cytological anaplasia…

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Telangiectatic Osteosarcoma

Aug 7, 2016 by in MUSCULOSKELETAL IMAGING Comments Off on Telangiectatic Osteosarcoma

Clinical: Clinically, the tumor has an aggressive course, with an expanding soft tissue mass, soft and tender on palpation, with increased local temperature. Pathologic fracture is not uncommon. Imaging: Imaging…

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Mesenchymal Chondrosarcoma

Aug 7, 2016 by in MUSCULOSKELETAL IMAGING Comments Off on Mesenchymal Chondrosarcoma

Location: Trunk and craniofacial bones. Rare in the limbs. Clinical: Pain and swelling. Imaging: On x-ray – osteolytic lesion with permeative destruction of bone, ill-defined margins, breaking the cortex, with…

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Fibrosarcoma

Aug 7, 2016 by in MUSCULOSKELETAL IMAGING Comments Off on Fibrosarcoma

Localization: The most frequent locations are femur, tibia, humerus, and pelvis. Usually located in the meta-diaphysis, it may invade the epiphysis or be multicentric. Clinical: In low-grade tumors, there is…

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Small Cell Osteosarcoma

Aug 7, 2016 by in MUSCULOSKELETAL IMAGING Comments Off on Small Cell Osteosarcoma

Round- to ovoid-shaped cells, similar to Ewing sarcoma cells, organized in sheets and nests, with osteoid matrix Selected Bibliography Bertoni F, Present D, Bacchini P, Pignatti G, Picci P, Campanacci…

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Periosteal Chondrosarcoma

Aug 7, 2016 by in MUSCULOSKELETAL IMAGING Comments Off on Periosteal Chondrosarcoma

Location: Mainly in the limbs: distal femur, proximal tibia, and proximal humerus. Clinical: Swelling with little or no pain. Imaging: On x-ray – globose mass lying on the outer surface…

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Clear Cell Chondrosarcoma

Aug 7, 2016 by in MUSCULOSKELETAL IMAGING Comments Off on Clear Cell Chondrosarcoma

Location: Epiphysis or apophysis of long bones (proximal femur and humerus), flat, and short bones. Clinical: Modest pain. Imaging: On x-ray, like a chondroblastoma. Osteolytic lesion with small calcifications, sharp…

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Secondary Osteosarcoma

Aug 7, 2016 by in MUSCULOSKELETAL IMAGING Comments Off on Secondary Osteosarcoma

Radiograph at onset and two months later, bone scintigraphy. Lytic heterogeneous broken lesion involving the epiphysis and metaphysis. The thick lamellar cortex indicates a preexisting Paget disease, confirmed by widespread…

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Langerhans Cell Histiocytosis

Aug 7, 2016 by in MUSCULOSKELETAL IMAGING Comments Off on Langerhans Cell Histiocytosis

Location: Flat and short bones of the trunk: skull (parietal, frontal site), ribs, pelvis, vertebral body, clavicle, and scapula. Among long bones: proximal half of the femur, humerus, and tibia…

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