Osteosarcoma x ray

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Osteosarcoma Microchapters
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X Ray

Conventional radiography continues to play an important role in diagnosis of osteosarcoma. Typical appearances of conventional high grade osteosarcoma include:

• Medullary and cortical bone destruction.
• Wide zone of transition, permeative or moth-eaten appearance.
• Aggressive periosteal reaction characterized by:

• Sunburst appearance
• Codman triangle
• Lamellated (onion skin) reaction: less frequently seen

• Soft-tissue mass.
• Tumor matrix ossification/calcification.

• Variable: reflects a combination of the amount of tumor bone production, calcified matrix, and osteoid.
• Ill-defined fluffy or cloud-like cf. to the rings and arcs of chondroid lesions.

Images courtesy of RadsWiki

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  Plain film: Osteosarcoma
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  Plain film: Osteosarcoma