Bone or cartilage mass evaluation: Difference between revisions
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==Bone or Cartilage Mass Evaluation== | ==Bone or Cartilage Mass Evaluation== | ||
The algorithm below summarizes the initial bone and cartilage mass evaluation that differentiate bone and cartilage tumors according to detailed history, age, and morphology of the lesion. | The algorithm below summarizes the initial bone and cartilage mass evaluation that differentiate bone and cartilage tumors according to detailed history, age, and morphology of the lesion. | ||
===Adult Bone or Cartilage Mass Evaluation=== | |||
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{{familytree/start |summary= Evaluation Algorithm Bone or cartilage mass}} | |||
{{familytree | | | | | | A02 | | | | | |A02=<div style="width: 10em; padding:0.2em;">'''Initial patients evaluation'''</div>}} | |||
{{familytree|boxstyle= border-top: 0px;| | | | | | A01 | |A01=<div style="width: 15em; padding:1em;">'''History and Symptoms''' <br> ❑ Pain <br> ❑ Response to analgesics <br>'''Physical examination'''<br> '''Age''' </div>}} | |||
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{{familytree | | | | | | A03 | |A03=<div style="width: 15em; padding:1em;">'''Imaging'''</div>}} | |||
{{familytree|boxstyle= border-top: 0px;| | | | | |A04 | | |A04=<div style="width: 15em; padding:1em;">'''1) Conventional radiography''' <br> ❑ What type of bone is involved? <br> ❑ Location of the lesion <br> ❑ Morphology of the lesion <br> ❑ Type of calcified matrix involved <br> ❑ Size <br> '''2) CT/MRI scan''' </div>}} | |||
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{{familytree | | | | B02 | |B01| | |B01=<div style="width: 10em; padding:1em;">'''Adults'''</div>|B02=<div style="width: 15em; padding:1em;">'''Children and adolescents'''</div>}} | |||
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{{familytree | | | | C02 | | C01| | |C01=<div style="width: 10em; padding:1em;">'''Lesion characteristics'''</div>|C02=<div style="width: 15em; padding:1em;">'''See children and adolescent evaluation of bone and cartilage mass'''</div>}} | |||
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{{familytree | | | | | | |,|-|^|-|v|-|-|.| }} | |||
{{familytree | | | | | | D02 | | D01 | |D03| D01=<div style="width: 15em; padding:1em;">'''Ill-defined lesions'''<SMALL><br> Listed in frequency order </SMALL></div>|D02=<div style="width: 15em; padding:1em;">'''Well-defined'''<br><SMALL> Listed in frequency order </SMALL></div>||D03=<div style="width: 15em; padding:1em;">'''Sclerotic'''<br><SMALL> Listed in frequency order </SMALL></div>}} | |||
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{{familytree | | | | | | |!| | | |!| | |!|}} | |||
{{familytree | | | | | | E02 | | E01 | |E03|E01=<div style="width: 17em; padding:1em;text-align:left"> ❑ Metastases <br> ❑ Giant cell tumor <br> ❑ Myeloma <br> ❑ Chondrosarcoma </div>|E02=<div style="width: 13em; padding:1em;"> ❑ Metastases <br> ❑ Myeloma <br> ❑ Lymphoma <br> ❑ Bone cyst <br> ❑ Brown tumor </div>|E03=<div style="width: 13em; padding:1em;"> ❑ Enchondroma <br> ❑ Osteoma <br> ❑ Fibrous dysplasia <br> ❑ Bone islands <br> ❑ Infection </div>}} | |||
{{familytree/end}} | |||
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===Pediatric Bone or Cartilage Mass Evaluation=== | ===Pediatric Bone or Cartilage Mass Evaluation=== | ||
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{{familytree | | | | | | |!| | | | }} | {{familytree | | | | | | |!| | | | }} | ||
{{familytree | | | | |,|-|^|-|.| | }} | {{familytree | | | | |,|-|^|-|.| | }} | ||
{{familytree | | | | B02 | |B01| | |B01=<div style="width: 10em; padding:1em;" | {{familytree | | | | B02 | |B01| | |B01=<div style="width: 10em; padding:1em;">'''Children and adolescents'''</div>|B02=<div style="width: 15em; padding:1em;">'''Adults'''</div>}} | ||
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{{familytree | | | | |!| | | |!| | }} | {{familytree | | | | |!| | | |!| | }} | ||
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{{familytree | | | | | | |,|-|^|-|v|-|-|.| }} | {{familytree | | | | | | |,|-|^|-|v|-|-|.| }} | ||
{{familytree | | | | | | D02 | | D01 | |D03| D01=<div style="width: 15em; padding:1em;">'''Ill-defined lesions'''</div>|D02=<div style="width: 15em; padding:1em;">'''Well-defined'''</div>||D03=<div style="width: 15em; padding:1em;">'''Sclerotic lesions'''</div>}} | {{familytree | | | | | | D02 | | D01 | |D03| D01=<div style="width: 15em; padding:1em;">'''Ill-defined lesions''' <br><SMALL> Listed in frequency order </SMALL></div>|D02=<div style="width: 15em; padding:1em;">'''Well-defined''' <br><SMALL> Listed in frequency order </SMALL></div>||D03=<div style="width: 15em; padding:1em;">'''Sclerotic lesions''' <br><SMALL> Listed in frequency order </SMALL></div>}} | ||
{{familytree | | | | | | |!| | | |!| | |!|}} | {{familytree | | | | | | |!| | | |!| | |!|}} | ||
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{{familytree/end}} | {{familytree/end}} | ||
<br> | <br> | ||
Revision as of 17:06, 10 February 2016
Bone or Cartilage Mass Microchapters |
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Bone or cartilage mass evaluation On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2]
Overview
The evaluation of bone and cartilage masses plays an important role in methodical diagnosis of bone and cartilage tumors. Bone and cartilage tumors must be differentiated from other tumors that cause similar imaging features.
Bone or Cartilage Mass Evaluation
The algorithm below summarizes the initial bone and cartilage mass evaluation that differentiate bone and cartilage tumors according to detailed history, age, and morphology of the lesion.
Adult Bone or Cartilage Mass Evaluation
Initial patients evaluation | |||||||||||||||||||||||||||||||||
History and Symptoms ❑ Pain ❑ Response to analgesics Physical examination Age | |||||||||||||||||||||||||||||||||
Imaging | |||||||||||||||||||||||||||||||||
1) Conventional radiography ❑ What type of bone is involved? ❑ Location of the lesion ❑ Morphology of the lesion ❑ Type of calcified matrix involved ❑ Size 2) CT/MRI scan | |||||||||||||||||||||||||||||||||
Children and adolescents | Adults | ||||||||||||||||||||||||||||||||
See children and adolescent evaluation of bone and cartilage mass | Lesion characteristics | ||||||||||||||||||||||||||||||||
Well-defined Listed in frequency order | Ill-defined lesions Listed in frequency order | Sclerotic Listed in frequency order | |||||||||||||||||||||||||||||||
❑ Metastases ❑ Myeloma ❑ Lymphoma ❑ Bone cyst ❑ Brown tumor | ❑ Metastases ❑ Giant cell tumor ❑ Myeloma ❑ Chondrosarcoma | ❑ Enchondroma ❑ Osteoma ❑ Fibrous dysplasia ❑ Bone islands ❑ Infection | |||||||||||||||||||||||||||||||
Pediatric Bone or Cartilage Mass Evaluation
Initial patients evaluation | |||||||||||||||||||||||||||||||||
History and Symptoms ❑ Pain ❑ Response to analgesics Physical examination Age | |||||||||||||||||||||||||||||||||
Imaging | |||||||||||||||||||||||||||||||||
1) Conventional radiography ❑ What type of bone is involved? ❑ Location of the lesion ❑ Morphology of the lesion ❑ Type of calcified matrix involved ❑ Size 2) CT/MRI scan | |||||||||||||||||||||||||||||||||
Adults | Children and adolescents | ||||||||||||||||||||||||||||||||
See adult evaluation of bone and cartilage mass | Lesion characteristics | ||||||||||||||||||||||||||||||||
Well-defined Listed in frequency order | Ill-defined lesions Listed in frequency order | Sclerotic lesions Listed in frequency order | |||||||||||||||||||||||||||||||
❑ Chondroblastoma ❑ Fibrous dysplasia ❑ Aneurysmal bone cyst ❑ Simple bone cyst ❑ Non ossifying fibroma ❑ Chondromyxoid fibroma ❑ Infection | ❑ Ewing tumor ❑ Eosinophilic granuloma ❑ Osteosarcoma ❑ Infection | ❑ Osteosarcoma ❑ Osteoid osteoma ❑ Fibrous dysplasia ❑ Eosinophilic granuloma ❑ Infection | |||||||||||||||||||||||||||||||