Head and Neck Imaging

Imaging Diagnosis of Osteosarcoma of Nontubiform Bone

Author:XIE Chang-nong, LIANG Jian-huang, CHENG Guan-xun.

affiliation:Department of Radiology, the Fifth Affiliated Hospital of Southern Medical University, Guangzhou 510900, Guangdong Province, China

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Abstract

Objective To analyze the imaging features and the diagnostic value of X-ray, CT and MRI of osteosarcoma in non-tubiform bone. Methods A total of 18 cases of osteosarcoma of non-tubiform bone proved by pathology were reviewed retrospectively. Eleven cases underwent X-ray, ten cases underwent CT and nine cases underwent MRI. Results Fifteen cases were primary osteosarcoma, three cases were secondary osteosarcoma(1 case was radiation-induced osteosarcoma, 1 case was secondary to postoperative osteochondroma, and 1 case was local cancerated into osteosarcoma from ossifying fibroma). The mean age was 43.3 years(range:19-64 years). Eleven cases were osteolytic lesions, with 5 cases were mixed and 2 cases were osteoblastic. Soft tissue extension were present in 17 cases, and osteoid tumor matrix mineralization were present in 16 cases. Conclusion Most osteosarcoma of non-tubiform bone occurred in older persons. Frequently the lesions were osteolytic in imagine. Combined imaging modalities of X-ray, CT and MRI can help to diagnose and differentiate this lesion.

【Keyword】Osteosarcoma; Non-tubiform Bone, X-ray Film, X-ray Computed; Magnetic Resonance Imaging

【Chart number】R445.2;R445.3;R738.1

【Document Identification Number】A

【DOI】 10.3969/j.issn.1672- 5131.2016.09.037