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Staging: Primary Malignant Bone Tumor
B.J. Manaster, MD, PhD, FACR
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8

Overview

  • General Comments

    • Classification

      Pathology

      • Routes Spread

        • General Features

          • Gross Pathology

            • Microscopic Features

              Imaging Findings

              • Detection

                • Staging

                  • Restaging

                    • Biopsy Considerations

                      • Follow-up Imaging

                        Clinical Issues

                        • Presentation

                          • Cancer History

                            • Treatment Options

                              Reporting Checklist

                              • Required Consultations

                                • Staging MR Must Include Entire Lesion

                                  • Preoperative Staging and Restaging Reports Must Include

                                    Selected References

                                    1. Benz MR et al: Treatment monitoring by 18F-FDG PET/CT in patients with sarcomas: interobserver variability of quantitative parameters in treatment-induced changes in histopathologically responding and nonresponding tumors. J Nucl Med. 49(7):1038-46, 2008
                                    2. Eary JF et al: Spatial heterogeneity in sarcoma 18F-FDG uptake as a predictor of patient outcome. J Nucl Med. 49(12):1973-9, 2008
                                    3. Fayad LM et al: Characterization of musculoskeletal lesions on 3-T proton MR spectroscopy. AJR Am J Roentgenol. 188(6):1513-20, 2007
                                    4. Liu PT et al: Anatomically based guidelines for core needle biopsy of bone tumors: implications for limb-sparing surgery. Radiographics. 27(1):189-205; discussion 206, 2007
                                    5. Skeletal Lesions Interobserver Correlation among Expert Diagnosticians (SLICED) Study Group: Reliability of histopathologic and radiologic grading of cartilaginous neoplasms in long bones. J Bone Joint Surg Am. 89(10):2113-23, 2007
                                    6. Tateishi U et al: Bone and soft-tissue sarcoma: preoperative staging with fluorine 18 fluorodeoxyglucose PET/CT and conventional imaging. Radiology. 245(3):839-47, 2007
                                    7. Mankin HJ et al: Survival data for 648 patients with osteosarcoma treated at one institution. Clin Orthop Relat Res. (429):286-91, 2004
                                    8. Bacci G et al: Nonmetastatic osteosarcoma of the extremity with pathologic fracture at presentation: local and systemic control by amputation or limb salvage after preoperative chemotherapy. Acta Orthop Scand. 74(4):449-54, 2003
                                    9. Enneking WF et al: A system for the surgical staging of musculoskeletal sarcoma. 1980. Clin Orthop Relat Res. (415):4-18, 2003
                                    10. Fletcher CDM et al: World Health Organization Classification of Tumours. Pathology and Genetics of Tumours of Soft Tissue and Bone. Lyon: IARC Press, 2002
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    Overview

                                    • General Comments

                                      • Classification

                                        Pathology

                                        • Routes Spread

                                          • General Features

                                            • Gross Pathology

                                              • Microscopic Features

                                                Imaging Findings

                                                • Detection

                                                  • Staging

                                                    • Restaging

                                                      • Biopsy Considerations

                                                        • Follow-up Imaging

                                                          Clinical Issues

                                                          • Presentation

                                                            • Cancer History

                                                              • Treatment Options

                                                                Reporting Checklist

                                                                • Required Consultations

                                                                  • Staging MR Must Include Entire Lesion

                                                                    • Preoperative Staging and Restaging Reports Must Include

                                                                      Selected References

                                                                      1. Benz MR et al: Treatment monitoring by 18F-FDG PET/CT in patients with sarcomas: interobserver variability of quantitative parameters in treatment-induced changes in histopathologically responding and nonresponding tumors. J Nucl Med. 49(7):1038-46, 2008
                                                                      2. Eary JF et al: Spatial heterogeneity in sarcoma 18F-FDG uptake as a predictor of patient outcome. J Nucl Med. 49(12):1973-9, 2008
                                                                      3. Fayad LM et al: Characterization of musculoskeletal lesions on 3-T proton MR spectroscopy. AJR Am J Roentgenol. 188(6):1513-20, 2007
                                                                      4. Liu PT et al: Anatomically based guidelines for core needle biopsy of bone tumors: implications for limb-sparing surgery. Radiographics. 27(1):189-205; discussion 206, 2007
                                                                      5. Skeletal Lesions Interobserver Correlation among Expert Diagnosticians (SLICED) Study Group: Reliability of histopathologic and radiologic grading of cartilaginous neoplasms in long bones. J Bone Joint Surg Am. 89(10):2113-23, 2007
                                                                      6. Tateishi U et al: Bone and soft-tissue sarcoma: preoperative staging with fluorine 18 fluorodeoxyglucose PET/CT and conventional imaging. Radiology. 245(3):839-47, 2007
                                                                      7. Mankin HJ et al: Survival data for 648 patients with osteosarcoma treated at one institution. Clin Orthop Relat Res. (429):286-91, 2004
                                                                      8. Bacci G et al: Nonmetastatic osteosarcoma of the extremity with pathologic fracture at presentation: local and systemic control by amputation or limb salvage after preoperative chemotherapy. Acta Orthop Scand. 74(4):449-54, 2003
                                                                      9. Enneking WF et al: A system for the surgical staging of musculoskeletal sarcoma. 1980. Clin Orthop Relat Res. (415):4-18, 2003
                                                                      10. Fletcher CDM et al: World Health Organization Classification of Tumours. Pathology and Genetics of Tumours of Soft Tissue and Bone. Lyon: IARC Press, 2002