A radiological diagnostic approach to tumours and tumour-like lesions of the calcaneus

2021 ◽  
pp. 20210330
Author(s):  
Christine Azzopardi ◽  
Anish Patel ◽  
Steven James ◽  
Rajesh Botchu ◽  
Mark Davies
Keyword(s):  
Diagnostic Algorithm ◽  
Bone Cysts ◽  
Common Location ◽  
Orthopedic Oncology ◽  
Rare Location ◽  
Tumour Location ◽  
Primary Bone ◽  
Primary Bone Tumours ◽  
Structured Approach ◽  
Musculoskeletal Radiologist

Objective: The calcaneus is a rare location for the development of primary bone tumours. The purpose of the study is to review the imaging findings in a cohort of patients presenting with tumours and tumour-like lesions of the calcaneus and to develop a more structured approach to the diagnosis of calcaneal lesions. Methods: A retrospective study with a collection of 167 cases of calcaneal tumours and tumour like lesions from our tertiary orthopedic oncology institution over a period of 13 years. Cases were reviewed by two consultant musculoskeletal radiologist and the location of the lesion within the calcaneus and demographics of the patient were noted for each case. A diagnostic algorithm which is based on patient age and tumour location was then extrapolated. Results: Out of the 167 cases we identified 24 different calcaneal pathologies which included both tumours and tumour-like lesions. The most common being simple bone cysts (18.3% of cases) and intra osseous lipoma (15% of cases) sited in the diaphyseal equivalent of the calcaneus. A diagnostic algorithm was formulated which describes the most common location of the different pathologies including both benign and malignant pathologies, subdivided by age. Conclusion: Our algorithm should help the radiologist narrow down the differential diagnosis when evaluating calcaneal lesions. Advances in knowledge: This article provides a radiological approach to calcaneal lesions.

Porous tantalum acetabular cups for reconstructions after peri-acetabular resections of primary bone tumours

2021 ◽  
pp. 112070002110015
Author(s):  
Riccardo Zucchini ◽  
Andrea Sambri ◽  
Claudio Giannini ◽  
Michele Fiore ◽  
Carlotta Calamelli ◽  
...  
Keyword(s):  
Bone Tumour ◽  
Hip Dislocation ◽  
Functional Results ◽  
Bone Tumours ◽  
Harris Hip Score ◽  
Porous Tantalum ◽  
Term Survival ◽  
Primary Bone ◽  
Primary Bone Tumours

Introduction: Periacetabular reconstruction after resection of primary bone tumour is a very demanding procedure. They are frequently associated with scarce functional results and a high rate of complications. We report a series of patients with periacetabular resections for primary bone tumours and reconstruction with a porous tantalum (PT) acetabular cup (AC). Materials and methods: 27 patients (median age 30 years) were included, being affected by primary bone tumours of the pelvis and treated with peri-acetabular resection and reconstruction with a PT AC. The diagnoses were 13 osteosarcomas, 7 chondrosarcomas and 7 Ewing sarcomas. Function was assessed with the Harris Hip Score and complications were classified according to Zeifang. Results: The median follow-up was 70 months. 1 patient required removal of the PT AC because of implant associated infection 55 months after surgery. There was 1 hip dislocation and no case of aseptic loosening. At final follow-up, the median HHS was 81 points (range 48–92). Conclusions: The used PT AC had good medium-term survival rates and good functional results. This technique is a viable reconstructive option after resections of periacetabular primary bone sarcomas.

scholarly journals First-ever intraosseous ancient schwannoma of the proximal ulna successfully treated using the cement technique

2021 ◽  
Vol 49 (2) ◽  
pp. 030006052098773
Author(s):  
Kai Xuan Lim ◽  
Karl Wu
Keyword(s):  
Rare Case ◽  
Pathological Fracture ◽  
Soft Tissue Neoplasm ◽  
Proximal Ulna ◽  
Intraosseous Schwannoma ◽  
First Case ◽  
Primary Bone ◽  
Primary Bone Tumours ◽  
Current Report ◽  
Neural Sheath

Schwannoma or neurilemmoma is a common soft tissue neoplasm arising from the neural sheath of Schwann cells. However, intraosseous schwannoma is rare, accounting for less than 0.2% of primary bone tumours. Several variants of schwannoma have been reported; among them, intraosseous schwannoma with ancient change is extremely rare. This current report presents an extremely rare case of ancient intraosseous neurilemmoma. The patient presented with right elbow pain and disability. A radiolucent, well-defined, lobulated lesion with a thin sclerotic rim in the proximal ulnar metaphysis that had caused a pathological fracture was noted. The mass was surgically excised using marginal resection and bone curettage was undertaken. The bone deficit was grafted with hydroxyapatite and β-tricalcium phosphate and augmented with bone cement. There were no signs of any recurrence after 3 years. This is the first case of an ancient intraosseous schwannoma of the proximal ulna. Although rare, intraosseous schwannoma should be considered in the differential diagnosis of radiographically benign-appearing osseous tumours in the bone. The cement technique is recommended for the treatment of intraosseous schwannoma.

Bone Cysts and Osteolysis in Ankle Replacement

2020 ◽  
pp. 107110072095515
Author(s):  
Ali-Asgar Najefi ◽  
Yaser Ghani ◽  
Andrew J. Goldberg
Keyword(s):  
Prevalence Study ◽  
Resection Margins ◽  
Bone Cysts ◽  
Ankle Arthritis ◽  
Level Of Evidence ◽  
Plain Radiographs ◽  
Computed Tomographic ◽  
Common Location ◽  
Postoperative Setting ◽  
End Stage

Background: Total ankle replacements (TARs) have higher rates of osteolysis than hip or knee replacements. It is unclear whether this is a pathologic immunologic process in response to wear debris, or expansion of pre-existing osteoarthritic bone cysts. We aimed to determine the incidence of bone cysts in patients with end-stage ankle arthritis prior to surgery and review the literature on bone cysts and osteolysis in relation to TAR. Methods: This is a descriptive/prevalence study in which all patients with end-stage ankle arthritis underwent plain radiographic imaging and computed tomographic (CT) scans prior to TAR surgery. Their imaging was assessed for the presence of cysts, measured on sagittal, axial, and coronal slices of the CT scan at the widest diameter. All cysts that would be removed as a result of the bone resection for the implant were excluded using digital analysis software. We assessed 120 consecutive patients with mean age of 63.4 years. Results: Seventeen patients (14%) did not have any bone cysts based on CT images. Ten patients (8%) had cysts that would have been completely removed by surgery, leaving 93 patients for analysis (78%). In 60% of these cases, the cysts were not seen on the plain radiographs. In 39 patients (33%), the cysts were greater than 5 mm in size. The medial (36%) and lateral malleoli (33%) were the most common location for the cysts (mean diameter 4.6±2.0 and 4.2±2.3 mm, respectively). Conclusion: Bone cysts outside of the resection margins for a TAR were present in 78% of patients with ankle arthritis prior to undergoing surgery. In 30% of cases, cysts were greater than 5 mm in size. In 60% of cases, the cysts were not seen on plain radiographs. Preoperative 3-dimensional imaging can provide a foundation to observe and quantify cyst presence, expansion, and time of onset in the postoperative setting. Level of Evidence: Level IIc, diagnostic/prevalence study.

Primary Bone Tumours of the Pelvis in Childhood—Ewing's Sarcoma of the Ilium, Pubis and Ischium. (Report of 30 cases) (Part I)

1989 ◽  
Vol 33 (4) ◽  
pp. 354-360 ◽  
Author(s):  
K. KOZLOWSKI ◽  
J. CAMPBELL ◽  
G. BELUFFI ◽  
J.C. HOEFFEL ◽  
L. MORRIS ◽  
...  
Keyword(s):  
Ewing’S Sarcoma ◽  
Ewing's Sarcoma ◽  
Bone Tumours ◽  
Primary Bone ◽  
Primary Bone Tumours

Endoprosthetic reconstruction of the distal tibia and ankle joint after resection of primary bone tumours

2009 ◽  
Vol 91-B (10) ◽  
pp. 1378-1382 ◽  
Author(s):  
A. S. Shekkeris ◽  
S. A. Hanna ◽  
M. D. Sewell ◽  
B. G. I. Spiegelberg ◽  
W. J. S. Aston ◽  
...  
Keyword(s):  
Ankle Joint ◽  
Distal Tibia ◽  
Bone Tumours ◽  
Endoprosthetic Reconstruction ◽  
Primary Bone ◽  
Primary Bone Tumours

Intraosseous schwannoma of the humerus: a rarity yet warrants consideration

2021 ◽  
Vol 14 (9) ◽  
pp. e240007
Author(s):  
Jagannath Kamath ◽  
Harshit Bhaskar Shetty ◽  
Arkesh Madegowda ◽  
Anusha S Bhatt
Keyword(s):  
Pathological Fracture ◽  
Histopathological Examination ◽  
Osteolytic Lesion ◽  
Complete Excision ◽  
Intraosseous Schwannoma ◽  
Distal Shaft ◽  
Primary Bone ◽  
Primary Bone Tumours ◽  
Graft Reconstruction ◽  
Left Humerus

Intraosseous schwannoma is extremely rare that it is not often considered among differential diagnosis for an osteolytic lesion, especially in long bones of the extremities. Amounting to less than 0.2% of all primary bone tumours and less than 200 cases reported so far, with only 3 cases involving the humerus, we hereby report the fourth case. In addition to its rarity, this was the only case of an intraosseous schwannoma involving the humerus bone which presented with a pathological fracture in a 45-year-old woman after sustaining a trivial trauma. Radiological examination revealed a geographic type of osteolytic lesion in distal shaft region of the left humerus. Only a histopathological examination helped in revealing and confirming the diagnosis of an intraosseous schwannoma. Treatment of the tumour with complete excision with bone graft reconstruction and osteosynthesis yields good results with very low risk of recurrence.

Magnetic Resonance Imaging of Primary Bone Tumours

1990 ◽  
pp. 137-150
Author(s):  
J. Gielen ◽  
A. L. Baert ◽  
G. Marchal ◽  
P. Demaerel ◽  
L. Vanfraeyenhoven ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Bone Tumours ◽  
Resonance Imaging ◽  
Primary Bone ◽  
Primary Bone Tumours

Bone cancer

2020 ◽  
pp. 4709-4713
Author(s):  
Helen Hatcher
Keyword(s):  
Metastatic Disease ◽  
Ewing Sarcoma ◽  
Bone Biopsy ◽  
Tumour Size ◽  
External Beam Radiotherapy ◽  
Bone Tumours ◽  
Malignant Bone Tumours ◽  
Primary Bone ◽  
Bony Metastases ◽  
Primary Bone Tumours

Benign bone tumours are common, usually asymptomatic, and discovered incidentally. Malignant primary bone tumours are uncommon but cause significant morbidity and mortality, particularly in adolescents and young adults. Bony metastases are the tumours most frequently seen in bone. Malignant bone tumours typically present with localized pain or swelling. With patients in whom the diagnosis is not clearly metastatic disease, determination of tumour size and extent is best achieved by magnetic resonance imaging, and bone biopsy is mandatory to establish a precise histological diagnosis. Osteosarcoma, chondrosarcoma, and Ewing sarcoma are the three commonest primary bone tumours. In determining management, the main clinical distinction is between localized and metastatic disease. Non-metastatic primary tumours are treated with surgery (when possible) and chemotherapy (osteosarcoma and Ewing sarcoma, sometimes chondrosarcoma). Symptomatic bony metastases are usually treated with external beam radiotherapy.

Sign in / Sign up

Export Citation Format

Share Document