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Created page with "__NOTOC__ {{Bone or cartilage mass}} {{CMG}} {{AE}} {{DL}} ==Staging== {| style="border: 0px; font-size: 90%; margin: 3px;" align="center" ! style="width: 180px;background:..." |
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{{Bone or cartilage mass}} | {{Bone or cartilage mass}} | ||
{{CMG}} {{AE}} {{DL}} | {{CMG}} {{AE}} {{DL}} | ||
==Overview== | |||
According to the Enneking system there are 6 stages of benign and malignant bone tumors based on the grade, anatomic site, and metastasis.<ref name="enneking">Enneking System for Staging of Benign and Malignant Bone and Soft Tissue Lesion. Orthopaedics One. http://www.orthopaedicsone.com/x/TwAjAQ. Accessed on February 12, 2016 </ref> | |||
==Staging== | ==Staging== | ||
{| style="border: 0px; font-size: 90%; margin: 3px; width: 1000px" align="center" | |||
{| style="border: 0px; font-size: 90%; margin: 3px;" align="center" | |+ '''Enneking Tumor Staging''' <br><SMALL>Adapted from The Orthopaedic Knowledge Network. 2009 <ref name="enneking">Enneking System for Staging of Benign and Malignant Bone and Soft Tissue Lesion. Orthopaedics One. http://www.orthopaedicsone.com/x/TwAjAQ. Accessed on February 12, 2016 </ref></SMALL> | ||
! style="width: | ! rowspan="3" style="width: 120px;font-weight: bold;background: #DCDCDC" | Grade | ||
| style=" | | style="background: #F5F5F5; text-align:center" | '''G0''' | ||
| style="background: #F5F5F5; text-align:center" | Benign | | style="background: #F5F5F5; text-align:center" | Benign | ||
|- | |- | ||
| style=" | | style="background: #F5F5F5; text-align:center" | '''G1''' | ||
| style="background: #F5F5F5; text-align:center" | Low grade malignant | | style="background: #F5F5F5; text-align:center" | Low grade malignant | ||
|- | |- | ||
| style="width: 120px;font-weight: bold;background: #DCDCDC" | | | style="background: #F5F5F5; text-align:center" | '''G2''' | ||
| style="background: #F5F5F5; text-align:center" | | | style="background: #F5F5F5; bold; text-align:center" | High grade malignant | ||
|- | |||
! rowspan="3" style="width: 120px;font-weight: bold;background: #DCDCDC" | Anatomic site | |||
| style="background: #F5F5F5; text-align:center" | '''T0''' | |||
| style="background: #F5F5F5; bold; text-align:center" | Intracapsular | |||
|- | |||
| style="background: #F5F5F5; text-align:center" | '''T1''' | |||
| style="background: #F5F5F5; bold; text-align:center" | Extracapsular, intracompartmental | |||
|- | |||
| style="background: #F5F5F5; text-align:center" | '''T2''' | |||
| style="background: #F5F5F5; bold; text-align:center" | Extracapsular, extracompartmental | |||
|- | |||
! rowspan="2" style="width: 120px;font-weight: bold;background: #DCDCDC" | Metastasis | |||
| style="background: #F5F5F5; text-align:center" | '''M0''' | |||
| style="background: #F5F5F5; bold; text-align:center" | No metastasis | |||
|- | |- | ||
| style="background: #F5F5F5; text-align:center" | '''M1''' | |||
| style="background: #F5F5F5; bold; text-align:center" | Distant metastasis | |||
| style="background: #F5F5F5; text-align:center" | | |||
|- | |- | ||
| style="width: 120px; | |} | ||
| style="background: # | |||
{| style="border: 0px; font-size: 90%; margin: 3px; width: 1000px" align="center" | |||
|+ '''Enneking Tumor Staging''' <br><SMALL>Adapted from The Orthopaedic Knowledge Network. 2009 <ref name="enneking">Enneking System for Staging of Benign and Malignant Bone and Soft Tissue Lesion. Orthopaedics One. http://www.orthopaedicsone.com/x/TwAjAQ. Accessed on February 12, 2016 </ref></SMALL> | |||
! style="width: 180px;background: #4479BA" |{{fontcolor|#FFF| Origin}} | |||
! style="width: 120px;background: #4479BA" |{{fontcolor|#FFF| Stages}} | |||
! style="width: 120px;background: #4479BA" |{{fontcolor|#FFF| Grade}} | |||
! style="width: 120px;background: #4479BA" |{{fontcolor|#FFF| Site}} | |||
! style="width: 120px;background: #4479BA" |{{fontcolor|#FFF| Metastasis}} | |||
! style="width: 120px;background: #4479BA" |{{fontcolor|#FFF| Description}} | |||
! style="width: 120px;background: #4479BA" |{{fontcolor|#FFF| Examples}} | |||
|- | |- | ||
| style="width: 120px;font-weight: bold;background: #DCDCDC" | | | rowspan="3" style="width: 120px;font-weight: bold;background: #DCDCDC" | Benign | ||
| style="background: #F5F5F5; text-align:center" | | | style="width: 120px;font-weight: bold;background: #DCDCDC" | 1 | ||
| style="background: #F5F5F5; text-align:center" | G0 | |||
| style="background: #F5F5F5; text-align:center" | T0 | |||
| style="background: #F5F5F5; text-align:center" | M0 | |||
| style="background: #F5F5F5; text-align:center" | Benign latent | |||
| style="background: #F5F5F5; text-align:center" | Osteoid osteoma, lipoma | |||
|- | |- | ||
| style="width: 120px;font-weight: bold;background: #DCDCDC" | 2 | |||
| style=" | | style="background: #F5F5F5; text-align:center" | G0 | ||
| style="background: #F5F5F5; text-align:center" | | | style="background: #F5F5F5; text-align:center" | T0 | ||
| style="background: #F5F5F5; text-align:center" | M0 | |||
| style="background: #F5F5F5; text-align:center" | Benign active | |||
| style="background: #F5F5F5; text-align:center" | Giant cell tumor, hemangioma | |||
|- | |- | ||
| style="width: 120px;font-weight: bold;background: #DCDCDC" | M1 | | style="width: 120px;font-weight: bold;background: #DCDCDC" | 3 | ||
| style="background: #F5F5F5; text-align:center" | G0 | |||
| style="background: #F5F5F5; text-align:center" | T1-T2 | |||
| style="background: #F5F5F5; text-align:center" | M0-M1 | |||
| style="background: #F5F5F5; text-align:center" | Benign aggresive | |||
| style="background: #F5F5F5; text-align:center" | Desmoplastic fibroma, chondroblastoma | |||
|- | |||
| rowspan="6" style="width: 120px;font-weight: bold;background: #DCDCDC" | Malignant | |||
| style="width: 120px;font-weight: bold;background: #DCDCDC" | IA | |||
| style="background: #F5F5F5; text-align:center" | G1 | |||
| style="background: #F5F5F5; text-align:center" | T1 | |||
| style="background: #F5F5F5; text-align:center" | M0 | |||
| style="background: #F5F5F5; text-align:center" | Low grade malignant, intracompartmental | |||
| style="background: #F5F5F5; text-align:center" | Low grade intramedullary osteosarcoma, dematofibrosarcoma protuberans | |||
|- | |||
| style="width: 120px;font-weight: bold;background: #DCDCDC" | IB | |||
| style="background: #F5F5F5; text-align:center" | G1 | |||
| style="background: #F5F5F5; text-align:center" | T2 | |||
| style="background: #F5F5F5; text-align:center" | M0 | |||
| style="background: #F5F5F5; text-align:center" | Low grade malignant, extracompartmental | |||
| style="background: #F5F5F5; text-align:center" | Parosteal osteosarcoma, hemangioendothelioma | |||
|- | |||
| style="width: 120px;font-weight: bold;background: #DCDCDC" | IIA | |||
| style="background: #F5F5F5; text-align:center" | G2 | |||
| style="background: #F5F5F5; text-align:center" | T1 | |||
| style="background: #F5F5F5; text-align:center" | M0 | |||
| style="background: #F5F5F5; text-align:center" | High grade malignant, intracompartmental | |||
| style="background: #F5F5F5; text-align:center" | High grade central osteosarcoma, angiomatoid malignant fibrous histiocytoma | |||
|- | |||
| style="width: 120px;font-weight: bold;background: #DCDCDC" | IIB | |||
| style="background: #F5F5F5; text-align:center" | G2 | |||
| style="background: #F5F5F5; text-align:center" | T2 | |||
| style="background: #F5F5F5; text-align:center" | M0 | |||
| style="background: #F5F5F5; text-align:center" | High grade malignant, extracompartmental | |||
| style="background: #F5F5F5; text-align:center" | Ewing sarcoma, high grade osteosarcoma | |||
|- | |||
| style="width: 120px;font-weight: bold;background: #DCDCDC" | IIIA | |||
| style="background: #F5F5F5; text-align:center" | G1-G2 | |||
| style="background: #F5F5F5; text-align:center" | T1 | |||
| style="background: #F5F5F5; text-align:center" | M1 | |||
| style="background: #F5F5F5; text-align:center" | Regional metastasis | |||
| style="background: #F5F5F5; text-align:center" | Low grade intramedullary osteosarcoma, low grade synovial sarcoma | |||
|- | |||
| style="width: 120px;font-weight: bold;background: #DCDCDC" | IIIB | |||
| style="background: #F5F5F5; text-align:center" | G1-G2 | |||
| style="background: #F5F5F5; text-align:center" | T2 | |||
| style="background: #F5F5F5; text-align:center" | M1 | |||
| style="background: #F5F5F5; text-align:center" | Distant metastasis | | style="background: #F5F5F5; text-align:center" | Distant metastasis | ||
| style="background: #F5F5F5; text-align:center" | High grade osteosarcoma, high grade liposarcoma | |||
|} | |} | ||
==References== | |||
{{reflist|1}} |
Latest revision as of 20:12, 17 February 2016
Bone or Cartilage Mass Microchapters |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Danitza Lukac
Overview
According to the Enneking system there are 6 stages of benign and malignant bone tumors based on the grade, anatomic site, and metastasis.[1]
Staging
Grade | G0 | Benign |
---|---|---|
G1 | Low grade malignant | |
G2 | High grade malignant | |
Anatomic site | T0 | Intracapsular |
T1 | Extracapsular, intracompartmental | |
T2 | Extracapsular, extracompartmental | |
Metastasis | M0 | No metastasis |
M1 | Distant metastasis |
Origin | Stages | Grade | Site | Metastasis | Description | Examples |
---|---|---|---|---|---|---|
Benign | 1 | G0 | T0 | M0 | Benign latent | Osteoid osteoma, lipoma |
2 | G0 | T0 | M0 | Benign active | Giant cell tumor, hemangioma | |
3 | G0 | T1-T2 | M0-M1 | Benign aggresive | Desmoplastic fibroma, chondroblastoma | |
Malignant | IA | G1 | T1 | M0 | Low grade malignant, intracompartmental | Low grade intramedullary osteosarcoma, dematofibrosarcoma protuberans |
IB | G1 | T2 | M0 | Low grade malignant, extracompartmental | Parosteal osteosarcoma, hemangioendothelioma | |
IIA | G2 | T1 | M0 | High grade malignant, intracompartmental | High grade central osteosarcoma, angiomatoid malignant fibrous histiocytoma | |
IIB | G2 | T2 | M0 | High grade malignant, extracompartmental | Ewing sarcoma, high grade osteosarcoma | |
IIIA | G1-G2 | T1 | M1 | Regional metastasis | Low grade intramedullary osteosarcoma, low grade synovial sarcoma | |
IIIB | G1-G2 | T2 | M1 | Distant metastasis | High grade osteosarcoma, high grade liposarcoma |
References
- ↑ 1.0 1.1 1.2 Enneking System for Staging of Benign and Malignant Bone and Soft Tissue Lesion. Orthopaedics One. http://www.orthopaedicsone.com/x/TwAjAQ. Accessed on February 12, 2016