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Journal of Bone and Soft Tissue Tumors (JBST) is the official Journal of The Indian Musculo Skeletal Oncology Society
Chondroblastoma of the Naviculum: A Diagnostic Dilemma
Vol 5 | Issue 1 | Jan-April 2019 | page: 25-27 | Monish Malhotra, Sandeep Vijayan, Sourab Shetty.
Authors: Monish Malhotra [1], Sandeep Vijayan [2], Sourab Shetty [2].
[1] Department of Orthopaedics, Pandit Bhagwat Dayal Sharma PGIMS, Rohtak, Haryana, India,
[2] Department of Orthopaedics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Address of Correspondence
Dr. Monish Malhotra,
Department of Orthopaedics, Pandit Bhagwat Dayal Sharma PGIMS, Rohtak – 124001, Haryana, India.
E-mail: drmonish.malhotra14@gmail.com
Abstract
Introduction: Chondroblastoma is a benign tumor characteristically seen in the epiphyseal region of long bones. Its occurrence in the tarsal bones is extremely rare.
Case Report: We report the case of a 17-year-old girl with chondroblastoma mimicking an aneurysmal bone cyst in the naviculum. Along with the primary enbloc excision of the naviculum, a tricortical iliac crest bone graft was placed in the gap to prevent collapse of the medial longitudinal arch.
Conclusion: Chondroblastoma in uncommon sites can present with atypical features and cause dilemma in diagnosis and thereby management.
Keywords: Chondroblastoma, Bone grafting, Aneurysmal bone cyst, Tarsal bones, Naviculum.
References
1. Suneja R, Grimer RJ, Belthur M, Jeys L, Carter SR, Tillman RM, et al. Chondroblastoma of bone: Long-term results and functional outcome after intralesional curettage. J Bone Joint Surg Br 2005;87:974-8.
2. Li XN, Peng ZG, Zhao JP, Zhang ZK. Chondroblastoma of the navicular bone. Iran J Radiol 2014;11:e10848.
3. Fang Z, Chen M. Chondroblastoma associated with aneurysmal cyst of the navicular bone: A case report. World J Surg Oncol 2013;11:50.
4. Springfield DS, Capanna R, Gherlinzoni F, Picci P, Campanacci M. Chondroblastoma. A review of seventy cases. J Bone Joint Surg Am 1985;67:748-55.
5. McLeod RA, Beabout JW. The roentgenographic features of chondroblastoma. Am J Roentgenol Radium Ther Nucl Med 1973;118:464-71.
6. Atalar H, Basarir K, Yildiz Y, Erekul S, Saglik Y. Management of chondroblastoma: Retrospective review of 28 patients. J Orthop Sci 2007;12:334-40.
7. Huvos AG, Marcove RC. Chondroblastoma of bone. A critical review. Clin Orthop Relat Res 1973;95:300-12.
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Parosteal Lipoma of the Lower Limb: A Report of Two Cases
Vol 5 | Issue 1 | Jan-April 2019 | page: 21-24 | Imed Sboui, Hend Riahi, Mouna Chelli-Bouaziz, Mohamed Samir Daghfous, Mohamed Fethi Ladeb, Faten Farah.
Authors: Imed Sboui [1], Hend Riahi [2], Mouna Chelli-Bouaziz[2], Mohamed Samir Daghfous [1], Mohamed Fethi Ladeb [2], Faten Farah [3].
[1] Department of Orthopaedic, Institut Mohamed Kassab d’orthopédie, Manouba, Tunisia,
[2] Department of Radiology, Institut Mohamed Kassab d’orthopédie, Manouba, Tunisia,
[3] Department of Pathology, Institut Mohamed Kassab d’orthopédie, Manouba, Tunisia.
Address of Correspondence
Dr. Hend Riahi,
10 rue Khalifas Rachidites Menzeh 5 Ariana Tunisia.
E-mail: hend.riahi@gmail.com
Abstract
Introduction: Parosteal lipoma is a rare type of lipoma. Usually, asymptomatic and affecting mainly adults aged over 40.
Case Report: We report two cases localized in the lower limb. The first happened in a man presenting a painless swelling of the fibula, represented by a well-defined fatty tissue lesion. The second case concerned women presenting an asymmetry of the calf, represented by a well-defined mass composed of fatty tissue. The lesions were resected from surrounding soft tissues and underlying periosteum. The diagnosis was confirmed by histology.
Conclusion: Parosteal lipoma has the same characteristics of computed tomography (CT) and magnetic resonance imaging (MRI) as subcutaneous fat. The identification of fat is best performed with CT or MRI. Its recognition is mandatory to optimize clinical management including diagnosis, biopsy, and treatment.
Keywords: Deep-seated lipoma, Computed tomography, Magnetic resonance imaging.
References
1. Fleming RJ, Alpert M, Garcia A. Parosteal lipoma. AJR Am J Roentgenol 1962;87:1075-84.
2. Rodriguez-Peralto JL, Lopez-Barea F, Gonzales-Lopes J, Lamas-Lorenzo M. Case report 821. Skeletal Radiol 1994;23:67-9.
3. Asirvatham R, Linjawi T. Ossifying parosteal lipoma with exuberant cortical reaction. A case report. Int Orthop 1994;18:55-6.
4. Amores-Ramírez F, Hierro Martín I, Montañez Heredia E, Garcia-Fortea P, Garcia Salguero AI, Fernandez de Rota Conde A, et al. Painless mass in leg: Diagnosis and discussion. Skeletal Radiol 2009;38:1105-6, 1119-20.
5. Murphey MD, Johnson DL, Bhatia PS, Neff JR, Rosenthal HG, Walker CW, et al. Parosteal lipoma: MR imaging characteristics. AJR Am J Roentgenol 1994;162:105-10.
6. Schajowicz F. Neoplasia Óssea e Lesões Pseudotumorais. 2nd ed. Rio de Janeiro: Revinter; 2000. p. 403-46.
7. John SH, Chad CB, Kathleen SB, Valerie AF, Marcia FB, Joseph B. Parosteal lipoma of the proximal radius. Austin J Musculoskelet Disord 2016;3:1027.
8. Murphey MD, Arcara LK, Fanburg-Smith J. From the archives of the AFIP: Imaging of musculoskeletal liposarcoma with radiologic-pathologic correlation. Radiographics 2005;25:1371-95.
9. Murphey MD, Carroll JF, Flemming DJ, Pope TL, Gannon FH, Kransdorf MJ, et al. From the archives of the AFIP: Benign musculoskeletal lipomatous lesions. Radiographics 2004;24:1433-66.
10. Greco M, Mazzocchi M, Ribuffo D, Dessy LA, Scuderi N. Parosteal lipoma. Report of 15 new cases and a review of the literature. Ann Ital Chir 2013;84:229-35.
11. Rosenberg AE, Bridge JA. Lipoma of bone. In: Fletcher CD, Unni KK, Mertens F, editors. Pathology and Genetics of Tumours of the Soft Tissues and Bones. Lyon: IARC Press; 2002. p. 328-9.
12. Kawashima A, Magid D, Fishman EK, Hruban RH, Ney DR. Parosteal ossifying lipoma: CT and MR findings. J Comput Assist Tomogr 1993;17:147-50.
13. Seki N, Okada K, Miyakoshi N, Shimada Y, Nishida J, Itoi E, et al. Common peroneal nerve palsy caused by parosteal lipoma of the fibula. J Orthop Sci 2006;11:88-91.
14. Resnick D, editor. Tumor and tumor-like diseases. In: Diagnosis of Bone and Joint Disorders. 4th ed. Philadelphia, PA: Saunders; 1995. p. 3745-4128.
15. Dorfman HD. Miscellaneous mesenchymal tumors. In: Dorfman H, Czerniak B, editors. Bone Tumors. St Louis, Mo: Mosby; 1998. p. 913-48.
16. Petit MM, Swarts S, Bridge JA, Van de Ven WJ. Expression of reciprocal fusion transcripts of the HMGIC and LPP genes in parosteal lipoma. Cancer Genet Cytogenet 1998;106:18-23.
17. Kransdorf M, Murphey M. Lipomatous tumors. In: Imaging of Soft Tissue Tumors. Philadelphia, PA: Saunders; 1997. p. 57-101.
18. Obermann EC, Bele S, Brawanski A, Knuechel R, Hofstaedter F. Ossifying lipoma. Virchows Arch 1999;434:181-3.
19. Burt AM, Huang BK. Imaging review of lipomatous musculoskeletal lesions. SICOT J 2017;3:34.
20. Yu JS, Wei L, Becker W. MR imaging of a parosteal lipoma. J Clin Imaging 2000;24:15-8.
21. Balani A, Sankhe A, Dedhia T, Bhuta M, Lakhotia N, Yeshwante J, et al. Lump on back: A rare case of parosteal lipoma of scapula. Case Rep Radiol 2014;2014:169157.
22. Go T, Nakajima N, Yokota N, Yokomise H. Thoracoscopic resection of parosteal lipoma of the rib using orthopedic electric micro drill. Gen Thorac Cardiovasc Surg 2018;66:675-8.
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Health-Related Quality of Life in Patients with Bone Tumor around the Knee after Resection Arthrodesis
Vol 5 | Issue 1 | Jan-April 2019 | page: 17-20 | Wilasinee Sirichativapee, Weerachai Kosuwon, Winai Sirichativapee.
Authors: Wilasinee Sirichativapee [1], Weerachai Kosuwon [1], Winai Sirichativapee [1].
[1] Department of Orthopaedics, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Address of Correspondence
Dr. Winai Sirichativapee,
Department of Orthopaedics, Srinagarind Hospital, 123 Khon Kaen University, Nai Mueang Sub-District, Mueang District, Khon Kaen Province – 40002, Thailand.
E-mail: winaisiri@yahoo.com
Abstract
Background: This study aimed to compare the health-related quality of life (HRQoL) of patient with bone tumor around the knee after resection arthrodesis.
Methods: Patients between 15 and 70 years of age who underwent resection arthrodesis in Srinagarind Hospital >1 year were recruited. Patients were interviewed using a short form-36 questionnaire (social functioning-36 [SF-36] Ver2.0 Thai version) regarding their daily life problems.
Results: Eighteen patients with the mean age of 36.6 years (15–63 years) were included (15 females) in the study. Histological diagnoses were giant cell tumor 10 cases, osteosarcoma seven cases, and low-grade chondrosarcoma one case. Site of lesions was distal femur 15 cases and proximal tibia 3 cases. According to HRQoL, patients have good quality of life (score SF-36 >70) in all domains: Mean score: Physical functioning 75.55 ± 21.88, role physical 71.18 ± 22.70, bodily pain 85.41 ± 22.51, vitality 77.43 ± 16.76, general health 74.44 ± 19.16, SF 83.05 ± 26.40, role emotional 80.09 ± 22.89, and mental health 77.77 ± 21.29. Complications post-operative are broken implants (3 cases, 16.7%) and infections (4 cases, 22.2%).
Conclusion: In patients with bone tumor around the knee after resection, arthrodesis has a good quality of life in all domains in SF-36 version 2.0 questionnaire including function, pain, and mentality.
Keywords: Limb salvage, Arthrodesis, Quality of life, social functioning-36 version 2.0, Osteosarcoma, Giant cell tumor.
References
1. Tarnawska-Pierścińska M, Hołody Ł, Braziewicz J, Królicki L. Bone metastases diagnosis possibilities in studies with the use of 18F-NaF and 18F-FDG. Nucl Med Rev Cent East Eur 2011;14:105-8.
2. Sampath SC, Sampath SC, Mosci C, Lutz AM, Willmann JK, Mittra ES, et al. Detection of osseous metastasis by 18F-NaF/18F-FDG PET/CT versus CT alone. Clin Nucl Med 2015;40:e173-7.
3. Harisankar CN, Agrawal K, Bhattacharya A, Mittal BR. F-18 fluoro-deoxy-glucose and F-18 sodium fluoride cocktail PET/CT scan in patients with breast cancer having equivocal bone SPECT/CT. Indian J Nucl Med 2014;29:81-6.
4. Roop MJ, Singh B, Singh H, Watts A, Kohli PS, Mittal BR, et al. Incremental value of cocktail 18F-FDG and 18F-NaF PET/CT over 18F-FDG PET/CT alone for characterization of skeletal metastasesin breast cancer. Clin Nucl Med 2017;42:335-40.
5. Chan HP, Hu C, Yu CC, Huang TC, Peng NJ. Added value of using a cocktail of F-18 sodium fluoride and F-18 fluorodeoxyglucose in positron emission tomography/computed tomography for detecting bony metastasis: A case report. Medicine (Baltimore) 2015;94:e687.
6. Iagaru A, Mittra E, Mosci C, Dick DW, Sathekge M, Prakash V, et al. Combined 18F-fluoride and 18F-FDG PET/CT scanning for evaluation of malignancy: Results of an international multicenter trial. J Nucl Med 2013;54:176-83.
7. Gradishar WJ, Anderson BO, Balassanian R, Blair SL, Burstein HJ, Cyr A, et al. NCCN Clinical Practice Guidelines in Oncology Breast Cancer Version 2; 2016. Available from: https://www.nccn.org/professionals/physician_gls/pdf/breast.pdf. [Last accessed on 2016 Oct 19].
8. Yoon SH, Kim KS, Kang SY, Song HS, Jo KS, Choi BH, et al. Usefulness of (18)F-fluoride PET/CT in breast cancer patients with osteosclerotic bone metastases. Nucl Med Mol Imaging 2013;47:27-35.
9. Israel O, Goldberg A, Nachtigal A, Militianu D, Bar-Shalom R, Keidar Z, et al. FDG-PET and CT patterns of bone metastases and their relationship to previously administered anti-cancer therapy. Eur J Nucl Med Mol Imaging 2006;33:1280-4.
10. Lapa P, Saraiva T, Silva R, Marques M, Costa G, Lima JP. Superiority of 18F-Fna PET/CT for detecting bone metastases in comparison with other diagnostic ımaging modalities. Acta Med Port 2017;30:53-60.
11. Araz M, Aras G, Küçük ÖN. The role of 18F-NaF PET/CT in metastatic bone disease. J Bone Oncol 2015;4:92-7.
12. Schirrmeister H, Glatting G, Hetzel J, Nüssle K, Arslandemir C, Buck AK. Prospective evaluation of the clinical value of planar bone scans, SPECT, and (18)F-labeled NaF PET in newly diagnosed lung cancer. J Nucl Med 2001;42:1800-4.
13. Piccardo A, Puntoni M, Morbelli S, Massollo M, Bongioanni F, Paparo F, et al. 18F-FDG PET/CT is a prognostic biomarker in patients affected by bone metastases from breast cancer in comparison with 18F-naF PET/CT. Nuklearmedizin 2015;54:163-72.
14. Iagaru A, Young P, Mittra E, Dick DW, Herfkens R, Gambhir SS. Pilot prospective evaluation of 99mTc-MDP scintigraphy, 18F NaF PET/CT, 18F FDG PET/CT and whole-body MRI for detection of skeletal metastases. Clin Nucl Med 2013;38:e290-6.
15. Hillner BE, Siegel BA, Hanna L, Duan F, Quinn B, Shields AF. 18F-fluoride PET used for treatment monitoring of systemic cancer therapy: Results from the national oncologic PET registry. J Nucl Med 2015;56:222-8.
16. Iagaru A, Mittra E, Dick DW, Gambhir SS. Prospective evaluation of (99m)Tc MDP scintigraphy, (18)F NaF PET/CT, and (18)F FDG PET/CTfor detection of skeletal metastases. Mol Imaging Biol 2012;14:252-9.
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Guest Editorial: Message from IMSOS President
Vol 5 | Issue 1 | Jan-April 2019 | page: 2 | Bhavin Jhankaria
Author: Bhavin Jhankaria [1].
[1] Picture This By Jankharia, Bhaveshwar Vihar, 383 Sardar V P Rd, Opposite Vanita Vishram, Mumbai, Maharashtra, 400004, India.
Address of Correspondence
Dr. Bhavin Jhankaria
Picture This By Jankharia, Bhaveshwar Vihar, 383 Sardar V P Rd, Opposite Vanita Vishram, Mumbai, Maharashtra, 400004, India.
Email: bhavin@jankharia.com
Asia Pacific Musculoskeletal Tumor Society Conference 2018
Message from IMSOS President
IMSOS or the Indian Musculoskeletal Oncology Society is truly a multi-disciplinary society comprising of orthopedic surgeons, radiologists, pathologists and medical and radiation oncologists. All of these specialties and their doctors have come together to work towards providing optimal care to patients with bone and soft tissue tumors. IMSOS also encourages non-doctor members…anyone who makes a difference to the care of patients with bone and soft tissue tumors is welcome to be part of the society.
IMSOS’ vision is to “promote scientific, evidence based, comprehensive multidisciplinary management of bone and soft tissue sarcomas and encourage basic and clinical research”. IMSOS’ mission is to do this through meetings, conferences, workshops, white papers and an active website where people engage with each other to learn and teach and to eventually use that knowledge to optimally manage patients and alleviate their pain and suffering.
IMSOS is orthopedic-surgeon-driven given the very nature of the subject. However, radiologists, pathologists, oncologists and the other members are also an integral part of the Society. By electing me President for the next 2 years, IMSOS has truly proven its multi-disciplinary character.
The new IMSOS secretary and I, will ensure that IMSOS’ mission and vision are fulfilled and that we continue the work done by Ajay Puri and Ashish Gulia. We will strive to create a platform that will allow those who come after us to continue and enhance the work done by us.
We are actively soliciting suggestions from IMSOS’ members on various topics and issues to ensure that IMSOS stays and continues to be relevant and make a difference.
Let’s have a great meeting in Kolkata and work towards an equally good or better meeting in Bengaluru in March 2020.
Dr Bhavin Jhankaria
President – Indian Musculo Skeletal Oncology Society
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Diagnostic Comparison of F-18 Sodium FluorideNaF, Bone Scintigraphy, and F-18 Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography in the Detection of Bone Metastasis
Vol 5 | Issue 1 | Jan-April 2019 | page: 9-12 | Zehra PınarP Koç, Pelin Ö Kara, Emel Sezer, Vehbi Erçolak
Authors: Zehra PınarP Koç [1], Pelin Ö Kara [1], Emel Sezer [2], Vehbi Erçolak [2]
[1] Department of Nuclear Medicine, Mersin University, Mersin/, Turkey.,
[2] Department of Oncology, Mersin University, Mersin, Turkey. Mersin/Turkey.
Address of Correspondence
Dr. Zehra PınarP ınar Koç,
Mersin University Nuclear Medicine Dpt., Mersin – 33343, Turkey.
E-mail: zehrapinarkoc@gmail.com
Abstract
Objective: The aim of this study is to compare the diagnostic efficiency of bone scintigraphy, fluorodeoxyglucose (FDG), and sodium fluoride (NaF) positron emission tomography/computed tomography (PET/CT) in the evaluation of bone metastasis of the several malignant tumors.
Materials and Methods: A total of Thirteen13 patients (9nine Ffemales and, 4four Mmales; mean 62,.3 ± 7,.1 years) with diagnosis of different malignant tumors were included in the study. The comparison of bone scintigraphy, FDG, and NaF PET/CT results were was performed retrospectively.
Results: The NaF PET/CT demonstrated all the metastatic patients in this series; however, FDG PET/CT missed 7/13 and bone scintigrapyhy 1/13 of the patients with bone metastasis. NaF PET/CT showed significantly higher number of metastatic lesions in all the patients.
Conclusion: The lesion- based analysis showed that NaF PET/CT is significantly superior to FDG PET/CT and bone scintigraphy and patient- based analysis lower detection rate for the FDG PET/CT.
Keywords: Bone, scintigraphy, metastasis, sodium fluorideNaF, fluorodeoxyglucosefdg.
References
1. Tarnawska-Pierścińska M, Hołody Ł, Braziewicz J, Królicki L. Bone metastases diagnosis possibilities in studies with the use of 18F-NaF and 18F-FDG. Nucl Med Rev Cent East Eur 2011;14:105-8.
2. Sampath SC, Sampath SC, Mosci C, Lutz AM, Willmann JK, Mittra ES, et al. Detection of osseous metastasis by 18F-NaF/18F-FDG PET/CT versus CT alone. Clin Nucl Med 2015;40:e173-7.
3. Harisankar CN, Agrawal K, Bhattacharya A, Mittal BR. F-18 fluoro-deoxy-glucose and F-18 sodium fluoride cocktail PET/CT scan in patients with breast cancer having equivocal bone SPECT/CT. Indian J Nucl Med 2014;29:81-6.
4. Roop MJ, Singh B, Singh H, Watts A, Kohli PS, Mittal BR, et al. Incremental value of cocktail 18F-FDG and 18F-NaF PET/CT over 18F-FDG PET/CT alone for characterization of skeletal metastasesin breast cancer. Clin Nucl Med 2017;42:335-40.
5. Chan HP, Hu C, Yu CC, Huang TC, Peng NJ. Added value of using a cocktail of F-18 sodium fluoride and F-18 fluorodeoxyglucose in positron emission tomography/computed tomography for detecting bony metastasis: A case report. Medicine (Baltimore) 2015;94:e687.
6. Iagaru A, Mittra E, Mosci C, Dick DW, Sathekge M, Prakash V, et al. Combined 18F-fluoride and 18F-FDG PET/CT scanning for evaluation of malignancy: Results of an international multicenter trial. J Nucl Med 2013;54:176-83.
7. Gradishar WJ, Anderson BO, Balassanian R, Blair SL, Burstein HJ, Cyr A, et al. NCCN Clinical Practice Guidelines in Oncology Breast Cancer Version 2; 2016. Available from: https://www.nccn.org/professionals/physician_gls/pdf/breast.pdf. [Last accessed on 2016 Oct 19].
8. Yoon SH, Kim KS, Kang SY, Song HS, Jo KS, Choi BH, et al. Usefulness of (18)F-fluoride PET/CT in breast cancer patients with osteosclerotic bone metastases. Nucl Med Mol Imaging 2013;47:27-35.
9. Israel O, Goldberg A, Nachtigal A, Militianu D, Bar-Shalom R, Keidar Z, et al. FDG-PET and CT patterns of bone metastases and their relationship to previously administered anti-cancer therapy. Eur J Nucl Med Mol Imaging 2006;33:1280-4.
10. Lapa P, Saraiva T, Silva R, Marques M, Costa G, Lima JP. Superiority of 18F-Fna PET/CT for detecting bone metastases in comparison with other diagnostic ımaging modalities. Acta Med Port 2017;30:53-60.
11. Araz M, Aras G, Küçük ÖN. The role of 18F-NaF PET/CT in metastatic bone disease. J Bone Oncol 2015;4:92-7.
12. Schirrmeister H, Glatting G, Hetzel J, Nüssle K, Arslandemir C, Buck AK. Prospective evaluation of the clinical value of planar bone scans, SPECT, and (18)F-labeled NaF PET in newly diagnosed lung cancer. J Nucl Med 2001;42:1800-4.
13. Piccardo A, Puntoni M, Morbelli S, Massollo M, Bongioanni F, Paparo F, et al. 18F-FDG PET/CT is a prognostic biomarker in patients affected by bone metastases from breast cancer in comparison with 18F-naF PET/CT. Nuklearmedizin 2015;54:163-72.
14. Iagaru A, Young P, Mittra E, Dick DW, Herfkens R, Gambhir SS. Pilot prospective evaluation of 99mTc-MDP scintigraphy, 18F NaF PET/CT, 18F FDG PET/CT and whole-body MRI for detection of skeletal metastases. Clin Nucl Med 2013;38:e290-6.
15. Hillner BE, Siegel BA, Hanna L, Duan F, Quinn B, Shields AF. 18F-fluoride PET used for treatment monitoring of systemic cancer therapy: Results from the national oncologic PET registry. J Nucl Med 2015;56:222-8.
16. Iagaru A, Mittra E, Dick DW, Gambhir SS. Prospective evaluation of (99m)Tc MDP scintigraphy, (18)F NaF PET/CT, and (18)F FDG PET/CTfor detection of skeletal metastases. Mol Imaging Biol 2012;14:252-9.
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Tumour-like Lesions—- Are We Over Treating Them?
Vol 5 | Issue 1 | Jan-April 2019 | page: 3-8 | Dominic Puthoor, Dijoe Davis
Authors: Dominic Puthoor [1], Dijoe Davis [1].
[1] Department of Orthopedics, Amala Institute of Medical Sciences, Thrissur, Kerala, India.
Address of Correspondence
Dr. Dominic Puthoor,
Orthopedic Oncologist, Amala Institute of Medical Sciences, Thrissur, Kerala, India.
E-mail: dkputhur@gmail.com
Abstract
Introduction: Tumour-like lesions of the bone is area frequently used term but has have not yet been clearly defined. There are no definite guidelines available for their management. The present study was aimed to evaluate the tumour-like lesions and their management.
Case Report: A total of 164 cases of tumour-like lesions managed by the senior author in a Cancer Institute during the past three decades were systematically analyzed. By and large non-aggressive and non-operative treatment was given in all conditions. Outcome of conservative management of tumour-like lesions was very encouraging on long-term follow-up .
Conclusions: Most of the cases with lesser interventions produced better results. They need to be treated only if they are symptomatic or likely to produce a pathological fracture. Even in such situations, one need not take a radical approach.
Keywords: Tumour-like lesions, Cystic lesions, Fibrous lesions.
References
1. Dominic KP, Dijoe D, Manathara LT. Tumour like lesions and their management: A retrospective study. Int J Res Orthop 2018;4:159-65.
2. Puthur DK. Tumour like lesions: Understand the difference. Kerala J Orthopaedics 2013;26:137-41.
3. Mohan H. Text Book of Pathology. 7th ed. New Delhi: Jaypee Brothers Medical Publishers (P) Ltd.; 2015. p. 828.
4. Szendröi M, Sim FL. Color Atlas of Clinical Orthopedics. Berlin Heidelberg: Springer Verlag; 2009. p. 209-29.
5. Motamedi K, Seeger LL. Benign bone tumors. Radiol Clin North Am 2011;49:1115-34, 5.
6. Unni KK, Carrie Y. Inwards Dahlin’s Bone Tumors. Philadelphia, PA: Lippincott Williams and Wilkins; 2010. p. 305-47.
7. Wold LE, Unni KK. Atlas of Orthopedic Pathology. 3rd ed. Pennsylvania, PA: Saunders; 2008. p. 460-2
8. Puri A, Agarwal M. Current Concepts in Bone and Soft Tissue Tumors. ; 2007. p. 93-106.
9. Rastogi S, Varshney MK, Trikha V, Khan SA, Choudhury B, Safaya R, et al. Treatment of aneurysmal bone cysts with percutaneous sclerotherapy using polidocanol. A review of 72 cases with long-term follow-up. J Bone Joint Surg Br 2006;88:1212-6.
10. Varshney MK, Rastogi S, Khan SA, Trikha V. Is sclerotherapy better than intralesional excision for treating aneurysmal bone cysts? Clin Orthop Relat Res 2010;468:1649-59.
11. Balach T, Stacy GS, Peabody TD. The clinical evaluation of bone tumors. Radiol Clin North Am 2011;49:1079-93, 5.
12. Bhardwaj JR, Deb P. Boyd’s Text Book of Pathology.10th ed. Philadelphia, PA: Williams and Wilkins; 2013. p. 1676.
13. Christopher F, Bridge JA, Hogendoorn PC, Fredrik M. WHO Classification of Soft Tissue and Bone. 4th ed. ; 2013. p. 240- 1, 301.
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15. Cohen J. Etiology of simple bone cyst. J Bone Joint Surg Am 1970;52:1493-7.
16. Resnick D, Kransdorf MJ. Bone and Joint Imaging. 3rd ed. Philadelphia, PA: ???; 2005. p. 2408-593.
17. Vergel De Dios AM, Bond JR, Shives TC, McLeod RA, Unni KK. Aneurysmal bone cyst. A clinicopathologic study of 238 cases. Cancer 1992;69:2921-31.
18. McQueen MM, Chalmers J, Smith GD. Spontaneous healing of aneurysmal bone cysts. A report of two cases. J Bone Joint Surg Br 1985;67:310-2.
19. Donati D, Frisoni T, Dozza B, DeGroot H, Albisinni U, Giannini S, et al. Advance in the treatment of aneurysmal bone cyst of the sacrum. Skeletal Radiol 2011;40:1461-6.
20. Dicprio M, Enneking W. Current concept review of fibrous dyplasia pathophysiology evolution and treatment. J Bone Joint Surg 2005;87:1848-63.
21. Meredith DS, Healey JH. Twenty-year follow-up of monostotic fibrous dysplasia of the second cervical vertebra a case report and review of the literature. Investigation performed at memorial Sloan-Kettering cancer center. Bone Joint Surg Am 2011;93:e74.
22. Kim SH, Smith SE, Mulligan ME. Hematopoietic tumors and metastases involving bone. Radiol Clin North Am 2011;49:1163-83, 6.
23. Available from: http://www.bonetumor.org.
24. Gasbarrini A, Cappuccio M, Donthineni R, Bandiera S. Management of benign tomors of the mobile spine. Orthoped Clin North Am 2009;40:1-178.
25. Han I, Suh ES, Lee SH, Cho HS, Oh JH, Kim HS, et al. Management of eosinophilic granuloma occurring in the appendicular skeleton in children. Clin Orthop Surg 2009;1:63-7.
26. Mirels H. Metastatic disease in long bones. A proposed scoring system for diagnosing impending pathologic fractures. Clin Orthop Relat Res 1989;249:256-64.
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