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*Aggressive periosteal reaction characterized by:
*Aggressive periosteal reaction characterized by:
:*Sunburst appearance
:*Sunburst appearance
:*Codman triangle
:*[[Codman triangle]]
:*Lamellated (onion skin) reaction: less frequently seen
:*Lamellated (onion skin) reaction: less frequently seen
*Soft-tissue mass
*Soft-tissue mass

Revision as of 18:00, 21 September 2015

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Osteosarcoma Microchapters

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Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Osteosarcoma from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

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History and Symptoms

Physical Examination

Laboratory Findings

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X Ray

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Overview

X Ray

  • Conventional radiography continues to play an important role in diagnosis. Typical appearances of conventional high grade osteosarcoma include:
  • Medullary and cortical bone destruction.
  • Wide zone of transition, permeative or moth-eaten appearance.
  • Aggressive periosteal reaction characterized by:
  • Sunburst appearance
  • Codman triangle
  • Lamellated (onion skin) reaction: less frequently seen
  • Variable: reflects a combination of the amount of tumor bone production, calcified matrix, and osteoid.
  • Ill-defined fluffy or cloud-like cf. to the rings and arcs of chondroid lesions.
  • X-rays, which can show the location, size, and shape of a bone tumor. Even if x-rays suggest that an abnormal area is benign, especially if the patient is experiencing unusual or persistent pain.

Images courtesy of RadsWiki

References

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