Bone Tumors by Michael C. Beachley M.D., Melvin H. Becker M.D., Phillip A.

By Michael C. Beachley M.D., Melvin H. Becker M.D., Phillip A. Collins M.D., Kunio Doi Ph.D., Howard F. Faunce III D.O., Frieda Feldman M.D., Hossein Firooznia M.D., Ernest W. Fordham M.D., Harry K. Genant M.D., Nancy Branom Genieser M.D., Amy Goldman M.D.,

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Incidental dense vascular calcification is also noted. (Courtesy of Drs. ANTONIO PIZARRO and JAMES F. K URTZ, Hines Veteran Administration Hospital, Hines, Illinois) Fig. 43. Osteogenic sarcoma, distal femur. A densely sclerosing area in metaphysis with wide zone of transition is seen. Spiculated periosteal new bone formation as well as Codman's triangle is present on medial side Fig. 44. Osteogenic sarcoma involving pelvis. Patchy sclerotic areas ill-defined, are seen in ilium extending into base of pubis.

B. Greenfield: General Concepts and Pathology of Tumors of Osseous Origin Fig. 46 Fig. 47 Fig. 46. Osteogenic sarcoma. Proximal fibula. Destructive and sclerotic changes of proximal fibula with associated soft tissue, mass, periosteal and tumor new bone formation and Codman's triangle is noted. This is pre biopsy film. (From GREENFIELD, 1969. B. ) Fig. 47. Same patient as Fig. 46. 1 month interval film following biopsy. Marked increase in soft tissue mass and increase in tumor new bone formation within mass is seen.

The common tumors, with respect to typical epiphyseal, metaphyseal, or diaphyseal location are summarized in Table 1 (GREENFIELD, 1969). The location of the lesion with respect to the central axis of bone is also of diagnostic significance. An osteosarcoma, other than a parosteal sarcoma, is typically centrally located. If the origin of the tumor can be localized to the periosteum, cortex, or medulla, another helpful parameter is introduced. An osteoid osteoma, for example, can originate at any of the above three sites.

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