Professional Documents
Culture Documents
TM Juan Mauln A.
USS P. Montt
Aporte de la imagenologa
Tipo Histologico ?
Cuantificar
Anatomia radiolgica
Extensin Patrones radiolgicos
Nmero de lesiones Clinica
Control Tratamientos
Clasificacin de Tumores Oseos
Osteochondroma, Giant cell
benign tumor, Osteoma, Chondroma,
Tumor from Chondroblastoma
Bone Tissue Osteosarcoma,
malignan
Chondrosarcoma,
t
Primary Fibrosarcoma
Bone
benign Osteoangioma, Odontogenic
Tumor Tumor from tumor (exp. Adamantinoma)
Bone
Affiliated Ewing's sarcoma, Reticulum cell
malignan
Tissue sarcoma of bone,
t
Notochordoma, Myeloma
Carcinoma,
Metastatic
Sarcoma, Carcinoma, Sarcoma, Neuroblastoma
Tumor
Neuroblastoma
Tumor-like lesion Bone cyst, Fibrous dysplasia
WHO Classification
Bone Tumor & Tumor like lesions (2002)
EDAD
SEXO
TIEMPO DE EVOLUCIN
SIGNO SINTOMATOLOGA
ACOMPAANTE
Tumores seos dolorosos
Donde
Nmero
Litica vrs. esclerotica
Margenes
Matriz
Corteza circundante
Reaccion Periostica
Masa en tejidos blandos
Fractura patologica
Donde (localizacion)
diafisis
metfisis
epifisis
Nmero de lesiones
Tumor primario: frecuentemente nica
Metastasis: mltiple
Myeloma: mltiple
benigna maligna
Mrgenes
Geogrfico
Geografico
Borde no esclertico
Mal definido
Moteado
Focos radiolcidos mltiples
Mal definidos
MOTEADO
Permeativo
alternando entre
hueso normal y
anormal
PERMEATIVO
Matriz sea
Ausente - litica / radiolucida
Cartilaginosa - calcificacion,
punteada, popcorn, rings and
whorls
Agresiva
lamelar (hojas de cebolla)
Rayos de sol / pelo parado
Triangulo de Codman
Ninguna
Reaccin peristica slida, eliptica
Reaccin peristica laminar en capas
mltiples, o en hojas de cebolla
Reaccin peristica espiculada,
compleja o en rayos de sol
Reaccin peristica espiculada
paralela, en cabello erizado
Tringulo o ngulo de Codman
Gran masa en tejidos
blandos parcialmente
osificada alrededor de la
diafisis distal femoral
Reaccin peristica
irregular, circunferencial
RM etapificacin
local y para
planificar la ciruga
Estapificacin
Metstasis a
distancia
LESIONES TUMORALES
Osteosclerotic M
osteosarcoma in
M
inferior femur,
obvious tumor bone
formation ( ) and
big mass in soft
tissue (M), cortex
destruction and
become thinner ( )
Osteolytic
Osteosarcoma
Osteolytic osteosarcoma
in distal metaphysis of
the femur, apparent
Osteolytic destruction is
seen, associated with soft
tissue mass and Codman
triangle ( )
Osteosarcoma
pathologic fracture
Mixed osteosarcoma
Osteosarcoma in diaphysis
of femur, bone cortex
destruction, thickness
decrease and defect of the
cortex, mass formation in
soft tissue, flocculent tumor
bone inside the mass
Mixed Osteosarcoma
Osteosarcoma in superior
tibia, obvious bone
destruction and tumor
bone formation,
periosteum proliferation.
Codman triangle ( )
Mixed
Osteosarcoma
LESIONES TUMORALES
Lesin
ltica
expansiva
delimitada
moteada.