Download Bone Tumors: A Practical Guide to Imaging by Jim S. Wu MD, Mary G. Hochman MD (auth.) PDF

By Jim S. Wu MD, Mary G. Hochman MD (auth.)

Bone Tumors: a pragmatic consultant to Imaging is a concise consultant to universal tumors encountered through physicians in day-by-day perform. The authors utilize high-yield proof, differential diagnoses, and vast radiological photographs to introduce a variety of bone tumors, targeting their vintage visual appeal and site so as to offer readers with an outstanding beginning of information for tumor reputation and overview. The e-book contains causes of tools for correctly comparing bone lesions, universal imaging modalities used for prognosis, and person chapters masking various periods of benign and malignant tumors, together with cartilage, osseous, fibrous, miscellaneous, and bone metastases. The ebook concludes with a finished number of seventy five unknown situations, together with short medical background, description of imaging findings, most sensible differential diagnoses, and brief dialogue revealing the main most likely prognosis. Bone Tumors is a perfect source for training physicians and citizens in radiology, orthopedic surgical procedure, pathology, and first care.

About the Authors

Jim S. Wu, MD, is Assistant Professor of Radiology at Beth Israel Deaconess scientific middle, Harvard clinical School.

Mary G. Hochman, MD, is leader of the component of Musculoskeletal Imaging and Assistant Professor of Radiology at Beth Israel Deaconess clinical heart, Harvard clinical School.

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Extra resources for Bone Tumors: A Practical Guide to Imaging

Sample text

Carcinoid metastasis seen as a focal sclerotic lesion in the proximal tibial metaphysis (arrow) Fig. 17 Mixed lucent and sclerotic lesion. Fibrous dysplasia seen as a mixed lucent and sclerotic lesion in the proximal humeral metadiaphysis (arrow) 28 2 How to Evaluate a Bone Lesion Fig. 18 Mixed lucent and sclerotic lesion. A breast cancer metastasis appears as a mixed lucent and sclerotic lesion in the proximal femur (arrows) Pattern of Bone Destruction and Lesion Margins The pattern of bone destruction and the margin formed between a lesion and the surrounding bone are often characteristic for specific lesions and can help generate a differential diagnosis.

19 Radiographic patterns of bone tumors. IA—geographic with well-defined border and sclerotic rim (a); IB—geographic with a well-defined border, but no sclerotic rim (b); IC—geographic, but with an ill-defined border(c); II—moth eaten (d); III—permeative (e). Courtesy of Michael Larson, Boston, MA Geographic bone destruction describes a single discrete lytic lesion, often, but not always, with well-defined borders (Figs. 22). 23). Permeative bone destruction can be a confusing term—it refers to bone lysis that permeates through the bone and is therefore near-imperceptible on ­radiographs.

2). Additional factors contribute to the reproducibility of bone lesion locations. For example, seeding of either metastatic tumor or infection may occur in the metaphysis because of looping vessels and sinusoids which slow blood flow there. Round cell lesions tend to occur in areas of hematopoietic marrow and thus tend to be seen in the diaphysis or metadiaphysis. Because of differences in distribution of red marrow between children and adults, round cell tumors can occur in both the axial and appendicular skeleton in children, but are generally limited to the axial skeleton in adults.

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