Brien E W, Mirra J M, Luck J V
Orthopaedic Oncology Service, Orthopaedic Hospital, Los Angeles, CA 90007, USA.
Skeletal Radiol. 1999 Jan;28(1):1-20. doi: 10.1007/s002560050466.
In part I, we reviewed the varied clinical presentations, pathogenesis, histologic findings, radiologic findings, and treatment of intramedullary cartilaginous lesions of bone. In this section, we will evaluate our cases and consultations of juxtacortical cartilaginous tumors. Radiographic differential diagnosis includes the numerous juxtacortical lesions particularly osteochondroma, parosteal chondroma, Trevor's disease, trauma (fracture and periostitis ossificans), and the low- and high-grade surface osteosarcomas. By emphasizing pathogenesis in conjunction with radiographic and histologic findings, pitfalls in diagnosis and subsequent treatment can be avoided in such cases.
在第一部分中,我们回顾了骨内软骨性病变的各种临床表现、发病机制、组织学表现、影像学表现及治疗方法。在本节中,我们将评估我们的骨皮质旁软骨性肿瘤病例及会诊情况。影像学鉴别诊断包括众多骨皮质旁病变,尤其是骨软骨瘤、骨膜软骨瘤、Trevor病、创伤(骨折和骨化性骨膜炎)以及低级别和高级别表面骨肉瘤。通过结合影像学和组织学表现强调发病机制,在此类病例中可避免诊断及后续治疗中的陷阱。