Radioimaging Evaluation of Primary Bone Tumors and Tumor like Lesions
Radioimaging Evaluation of Primary Bone Tumors
Background: Bone tumour is relatively rarely encountered by radiologist, so sometimes it creates diagnostic difficulty. Aim over study was to determine the X-ray CT and MRI characteristics of different primary bone tumours and tumour like lesion and correlation of radiologic diagnosis with histopathologic diagnosis whenever possible. To understand the advantages and limitations of different radio-imaging techniques. Subjects and Methods: We have studied total 45 cases of primary bone tumour and tumour like lesions during study of 15 months duration in department of Radiodiagnosis, Baroda Medical College, Vadodara, Gujarat, India. First radiological diagnosis and differential diagnosis was given than histopathologic examination was done in all malignant and indeterminate lesions for final diagnosis. Results: Out of 45 patients 21 (46.6%) were female and 24 (53.3%) were male. Benign and malignant lesions were 69% and 31% respectively. Multiple lesions were common with osteochondroma, hemangioma and multiple myeloma. Most common malignant tumour was osteosarcoma and benign tumour was osteochondroma. Pathologic fracture was seen in 6 patients but out of them 2 fractures were missed on radiograph. Skip lesions were seen in two malignant lesions which was missed on radiograph and CT but it was easily detected on MRI. Conclusion: Radiography is baseline investigation for evaluation of bone tumor and tumour like lesions. Pathological fracture and matrix mineralization can be better seen on CT. MR is superior in detection skip lesion, soft tissue and marrow extension.
Miller TT. Bone tumors and tumor like condi- tions: analysis with conventional radiography. Radi- ology. 2008;246(3):662–74. Available from: https://doi.org/10.1148/radiol.2463061038.
Donnell PO. Evaluation of focal bone lesions: basic principles and clinical scenarios. Imaging. 2003;15:298–323. Available from: https://doi.org/10.1259/img.15.4.150298.
Nascimento D, Suchard G, Hatem M, de Abreu A. The role of magnetic resonance imaging in the evaluation of bone tumours and tumour-like lesions. Insights Imaging. 2014;5(4):419–440. Available from: https://dx.doi.org/10.1007/s13244-014-0339-z.
Yochum AM, Reckelhoff K, Kaeser M, Kettner NW. Ultra- sonography and Radiography to Identify Early Post Traumatic Myosistis Ossificans in an 18-Year-Old Male: A Case Report. J Chiropr Med. 2014;13(2):134–138. Available from: https://dx.doi.org/10.1016/j.jcm.2014.06.004.
Miller TT. Bone tumors and tumorlike conditions: analysis with conventional radiography. Radiology . 2008;246(3):662–674. Available from: https://doi.org/10.1148/radiol.2463061038.
Oba M, Inaba Y, Machida J, Saito T. Giant cell tumour of the femur in a 9-year-old girl, resulting in severe leg length discrepancy. BMJ Case Rep. 2016;2016:1–4. Available from: https://dx.doi.org/10.1136/bcr-2015-214265.
Wilson AJ, Kyriakos M, Ackerman LV. Chondromyxoid fibroma: radiographic appearance in 38 cases and in a review of the literature. Radiology. 1991;179(2):513–518. Available from: https://dx.doi.org/10.1148/radiology.179.2.2014302.
Hamada T, Ito H, Araki Y, Fujii K, Inoue M, Ishida O. Benign fibrous histiocytoma of the femur: review of three cases. Skeletal Radiol. 1996;25(1):25–29. Available from: https://dx.doi.org/10.1007/s002560050027.
Morán LM, Moeinvaziri M, Fernández A, Sánchez R. Multiple brown tumors mistaken for bone metastases. Computed tomog- raphy imaging findings. ESRNM. 2016;47(2):537–541. Avail- able from: https://dx.doi.org/10.1016/j.ejrnm.2016.03.001.
Park JA, Moon SG, Kim NR. Benign Fibrous Histiocytoma with Cystic Change of the Femur: a Case Report. Magn Reson Imaging. 2016;20(4):264–272. Available from: https://doi.org/10.13104/IMRI.2016.20.4.264.
Scholl RJ, Kellett HM, Neumann DP, Lurie AG. Cysts and Cystic Lesions of the Mandible: Clini- cal and Radiologic-Histopathologic Review. Radio Graphics. 1999;19(5):1107–1124. Available from: https://dx.doi.org/10.1148/radiographics.19.5.g99se021107.
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