Osteosarcoma x ray: Difference between revisions

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==Overview==
==Overview==
==X Ray==
==X Ray==
Conventional radiography continues to play an important role in diagnosis. Typical appearances of conventional high grade osteosarcoma include:
Conventional radiography continues to play an important role in diagnosis. Typical appearances of conventional high grade osteosarcoma include:<ref name=radio2> Osteosarcoma. Dr Amir Rezaee ◉ and Dr Frank Gaillard ◉ et al. Radiopaedia.org 2015. http://radiopaedia.org/articles/osteosarcoma</ref>
*Medullary and cortical bone destruction.
*Medullary and cortical bone destruction.
*Wide zone of transition, permeative or moth-eaten appearance.
*Wide zone of transition, permeative or moth-eaten appearance.
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:*[[Codman triangle]]
:*[[Codman triangle]]
:*Lamellated (onion skin) reaction: less frequently seen
:*Lamellated (onion skin) reaction: less frequently seen
*Soft-tissue mass
*Soft-tissue mass.
*Tumor matrix ossification/[[calcification]].
*Tumor matrix ossification/[[calcification]].
:*Variable: reflects a combination of the amount of tumor bone production, calcified matrix, and [[osteoid]].
:*Variable: reflects a combination of the amount of tumor bone production, calcified matrix, and [[osteoid]].

Revision as of 14:11, 28 September 2015

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

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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:[1]

  • 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.

Images courtesy of RadsWiki

References

  1. Osteosarcoma. Dr Amir Rezaee ◉ and Dr Frank Gaillard ◉ et al. Radiopaedia.org 2015. http://radiopaedia.org/articles/osteosarcoma

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