|
|
| (9 intermediate revisions by one other user not shown) |
| Line 1: |
Line 1: |
| ==Background==
| | #Redirect[[Bone tumors and their mimics]] |
| | |
| | |
| ==Clinical Features==
| |
| | |
| | |
| ==Differential Diagnosis<ref>Niederhuber, John E., et al. “Sarcomas.” Abeloff's Clinical Oncology E-Book. Elsevier Health Sciences, 2019, pp. 1604 – 1654.e8.</ref>==
| |
| *[[Multiple myeloma]]
| |
| *[[Osteosarcoma]]
| |
| *[[Chondrosarcoma]]
| |
| *[[Ewing Sarcoma]]
| |
| {| {{table}}
| |
| | align="center" style="background:#f0f0f0;"|'''Name'''
| |
| | align="center" style="background:#f0f0f0;"|'''Presentation'''
| |
| | align="center" style="background:#f0f0f0;"|'''Radiograph Findings'''
| |
| | align="center" style="background:#f0f0f0;"|'''Clinical Importance'''
| |
| |-
| |
| | Adamantinoma||Bone pain over anterior tibia in adolescent or young adult||Soap Bubble osteolytic appearance on plain radiograph||"Metastasis to lungs
| |
| |-
| |
| | May need amputation"
| |
| |-
| |
| | Chordoma||"Constant pain if in sacrum
| |
| |-
| |
| | Neurological deficits if at base of skull, most commonly in cranial nerves to the eye "||Plain radiograph will show a destructive bone lesion often with an associated soft tissue mass||"Slow growing but locally aggressive
| |
| |-
| |
| | Metastasis is uncommon, local recurrence is much more likely"
| |
| |-
| |
| | Fibrosarcoma and Undifferentiated pleomorphic sarcoma||Similar to osteosarcoma except malignant fibroblasts but less common||Most common in distal femur and proximal tibia||Similar outcome to osteosarcoma
| |
| |-
| |
| | Primary bone lymphoma||Adult > 40 years of age with bone pain or pathologic fracture||"Bone destruction
| |
| |-
| |
| | Soft tissue mass"||5 year survival is greater than 50% with radiation and chemotherapy
| |
| |}
| |
| | |
| ==Evaluation==
| |
| | |
| | |
| ==Management==
| |
| | |
| | |
| ==Disposition==
| |
| | |
| ==References==
| |
| <references/>
| |