Bone or cartilage mass evaluation
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2]
Overview
The evaluation of bone or cartilage mass will depend on detailed medical history, age, and morphology of the lesion.[1]
Bone or Cartilage Mass Evaluation
The algorithm below summarizes the initial bone and cartilage mass evaluation that differentiate bone and cartilage tumors according to detailed history, age, and morphology of the lesion.
Adult Bone or Cartilage Mass Evaluation
Initial patients evaluation | |||||||||||||||||||||||||||||||||
History and Symptoms ❑ Bone pain: characteristics ❑ Response to analgesics ❑ Recent fracture ❑ Personal history of cancer Physical examination ❑ Local swelling or mass Age | |||||||||||||||||||||||||||||||||
Imaging | |||||||||||||||||||||||||||||||||
1) Conventional radiography ❑ What type of bone is involved? ❑ Location of the lesion ❑ Morphology of the lesion ❑ Type of calcified matrix involved ❑ Size 2) CT/MRI scan | |||||||||||||||||||||||||||||||||
Children and adolescents | Adults | ||||||||||||||||||||||||||||||||
Lesion characteristics | |||||||||||||||||||||||||||||||||
Well-defined Listed in frequency order | Ill-defined lesions Listed in frequency order | Sclerotic lesions Listed in frequency order | |||||||||||||||||||||||||||||||
❑ Metastases ❑ Myeloma ❑ Lymphoma ❑ Bone cyst ❑ Brown tumor | ❑ Metastases ❑ Giant cell tumor ❑ Myeloma ❑ Chondrosarcoma | ❑ Enchondroma ❑ Osteoma ❑ Fibrous dysplasia ❑ Bone islands ❑ Infection | |||||||||||||||||||||||||||||||
Pediatric Bone or Cartilage Mass Evaluation
Initial patients evaluation | |||||||||||||||||||||||||||||||||
History and Symptoms ❑ Bone pain: characteristics ❑ Response to analgesics ❑ Recent fracture ❑ Personal history of cancer ❑ Failure to thrive Physical examination ❑ Local swelling or mass Age | |||||||||||||||||||||||||||||||||
Imaging | |||||||||||||||||||||||||||||||||
1) Conventional radiography ❑ What type of bone is involved? ❑ Location of the lesion ❑ Morphology of the lesion ❑ Type of calcified matrix involved ❑ Size 2) CT/MRI scan | |||||||||||||||||||||||||||||||||
Adults | Children and adolescents | ||||||||||||||||||||||||||||||||
Lesion characteristics | |||||||||||||||||||||||||||||||||
Well-defined Listed in frequency order | Ill-defined lesions Listed in frequency order | Sclerotic lesions Listed in frequency order | |||||||||||||||||||||||||||||||
❑ Simple bone cyst ❑ Infection ❑ Fibrous dysplasia ❑ Aneurysmal bone cyst ❑ Non ossifying fibroma ❑ Chondroblastoma ❑ Chondromyxoid fibroma | ❑ Ewing tumor ❑ Osteosarcoma ❑ Infection ❑ Eosinophilic granuloma | ❑ Osteosarcoma ❑ Osteoid osteoma ❑ Fibrous dysplasia ❑ Eosinophilic granuloma ❑ Infection | |||||||||||||||||||||||||||||||
References
- ↑ Balach T, Stacy GS, Peabody TD (2011). “The clinical evaluation of bone tumors”. Radiol. Clin. North Am. 49 (6): 1079–93, v. doi:10.1016/j.rcl.2011.07.001. PMID 22024289.
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