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Secondary bone tumors: classification
Adapted from Greenspan A et al. 2006 [1]
Tumor matrix Tumor location
Osteolytic
  • Renal cell cancer
  • Melanoma
  • Multiple myeloma
  • Non-small cell lung cancer
  • Thyroid cancer
  • Non-Hodgkin lymphoma
  • Langerhans cell histiocytosis
Skull
  • Breast cancer
  • Lung cancer
  • Melanoma
  • Prostate cancer
  • Thyroid cancer (usually follicular)
  • Renal cell cancer
  • Lymphoma
  • Leukaemia
  • Multiple myeloma
Osteoblastic
  • Prostate cancer
  • Carcinoid syndrome
  • Small cell lung cancer
  • Hodgkin lymphoma
  • Medulloblastoma
Vertebral
  • Breast cancer
  • Lung cancer
  • Prostate cancer
  • Lymphoma
  • Renal cell carcinoma
  • Gastrointestinal tract malignancies
  • Melanoma
Mixed
  • Breast cancer
  • Gastrointestinal cancers
  • Squamous cancers (at most primary sites)
Distal appendicular
  • Lung cancer
  • Breast cancer
  • Renal cell cancer
  • Prostate cancer
Other types ( "Blow out" and "Cookie type")
  • Renal cell carcinoma
  • Thyroid cancer
  • Hepatocellular carinoma
  • Bronchogenic carcinoma




Bone or cartilage mass classification
Adapted from ICD-10/WHO (9180–9269)[2]
Osteogenic tumors: bone-forming tumors Cartilage tumors: cartilage-forming tumors Fibrogenic tumors Cystic tumors Others ( hematopoietic, notochordal, neuroectodermal)
Histological Type
  • Osteoid osteoma
  • Osteoblastoma
  • Osteoma
  • Osteosarcoma
  • Osteochondroma
  • Chondroblastoma
  • Enchondroma
  • Chondromyxoid fibroma
  • Desmoplastic fibroma
  • Fibrous dysplasia
  • Ossyifing fibroma
  • Non-ossifying fibroma
  • Unicameral bone cyst
  • Aneurysmal bone cyst
  • Giant cell tumor
  • Adamantimoma
  • Eosinophilic granuloma
  • Ewing sarcoma
  • Metastases
Epiphysis Diaphysis Metaphysis
Tumor Location
  • Chondroblastoma
  • Giant cell tumor
  • Intraosseous ganglion
  • Chondrosarcoma
  • Metastases
  • Ewing's sarcoma
  • Eosinophilic granuloma
  • Ewing sarcoma
  • Myeloma
  • Metastases
  • Adamantimoma
  • Ossyfing fibroma
  • Enchondroma
  • Osteosarcoma
  • Chondromyxoid fibroma
  • Unicameral bone cyst
  • Osteoid osteoma
  • Metastases
Benign Malignant
Tumor Nature
  • Osteoid osteoma
  • Enchondroma
  • Chondromyxoid fibroma
  • Ossifying fibroma
  • Osteoblastoma
  • Unicameral bone cyst
  • Aneursymal bone cyst
  • Giant cell tumor
  • Osteochondroma
  • Osteosarcoma
  • Ewing sarcoma
  • Chondrosarcoma
  • Fibrosarcoma
  • Malignant fibrous histiocytoma
  • Plasma cell myeloma
  • Metastases



Bone or cartilage mass classification

Adapted from ICD-10/WHO (9180–9269)
[2]

Location Origin Type of tumor
Diaphysis Myeloid Multiple myeloma
Epithelial Adamantinoma
PNET/Ewing family Ewing's sarcoma
Metaphysis Osteoblast Osteoid osteoma
Osteoblastoma
Osteoma/osteosarcoma
Chondroblast Chondroma/ecchondroma/enchondroma
Enchondromatosis
Chondrosarcoma
Osteochondroma
Chondromyxoid fibroma
Fibrous Ossifying fibroma
Fibrosarcoma
Epiphysis Chondroblast Chondroblastoma
Myeloid Giant-cell tumor of bone
Other/ungrouped Notochord Chordoma
  1. Greenspan A, Jundt G, Remagen W. Differential diagnosis in orthopaedic oncology. Philadelphia : Lippincott Williams & Wilkins, c2007. (2006) ISBN:0781779308
  2. 2.0 2.1 Miller TT (2008). "Bone tumors and tumorlike conditions: analysis with conventional radiography". Radiology. 246 (3): 662–74. doi:10.1148/radiol.2463061038. PMID 18223119.