A pragmatic approach to the imaging and follow-up of solitary central cartilage tumours of the proximal humerus and knee

被引:26
作者
Patel, A. [1 ]
Davies, A. M. [1 ]
Botchu, R. [1 ]
James, S. [1 ]
机构
[1] Royal Orthopaed Hosp, Dept Radiol, Bristol Rd South, Birmingham B31 2AP, W Midlands, England
关键词
LOW-GRADE; MALIGNANT-TRANSFORMATION; CHONDROSARCOMA; ENCHONDROMA; MR; DIFFERENTIATION; NEOPLASMS; BONE; DISEASE; BENIGN;
D O I
10.1016/j.crad.2019.01.025
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Central cartilage tumours of bone range from the benign enchondroma to the malignant chondrosarcoma. They are an incidental finding in up to 2.8% of routine magnetic resonance imaging (MRI) examinations performed of the shoulder and knee. The purpose of this review is to provide a current appraisal of the imaging and histological challenges of distinguishing enchondroma from low-grade chondrosarcoma. The general radiologist, encountering these lesions in the proximal humerus and around the knee, is introduced to the Birmingham Atypical Cartilage Tumour Imaging Protocol (BACTIP). This provides a guide to the initial assessment and diagnosis, a stepwise imaging follow-up plan, and the indications for onward specialist orthopaedic oncology referral or discharge from follow-up. (C) 2019 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:517 / 526
页数:10
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