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Erschienen in: European Radiology 8/2003

01.08.2003 | Musculoskeletal

Benign bone tumors and tumor-like lesions: value of cross-sectional imaging

verfasst von: Klaus Woertler

Erschienen in: European Radiology | Ausgabe 8/2003

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Abstract

This article reviews the role of CT and MR imaging in the diagnosis of benign bone tumors and tumor-like lesions of bone with with regard to differential diagnosis, the assessment of tumor-related complications, and the detection of postoperative recurrence. Indications for cross-sectional imaging of specific lesions, including osteoid osteoma, osteoblastoma, enchondroma, osteochondroma, intraosseous lipoma, hemangioma, giant cell tumor, aneurysmal bone cyst, simple bone cyst, and eosinophilic granuloma, are discussed, and advantages and disadvantages of the different imaging modalities are illustrated on the basis of pathologically confirmed cases.
Literatur
1.
Zurück zum Zitat Forest M, Coindre JM, Diebold J (1997) Pathology of tumors. In: Forest M, Tomeno B, Vanel D (eds) Orthopedic surgical pathology: diagnosis of tumors and pseudotumoral lesions of bone and joints. Churchill Livingstone, Edinburgh, pp 71–516 Forest M, Coindre JM, Diebold J (1997) Pathology of tumors. In: Forest M, Tomeno B, Vanel D (eds) Orthopedic surgical pathology: diagnosis of tumors and pseudotumoral lesions of bone and joints. Churchill Livingstone, Edinburgh, pp 71–516
2.
Zurück zum Zitat Forest M, Amouroux J (1997) Pathology of pseudotumoral lesions. In: Forest M, Tomeno B, Vanel D (eds) Orthopedic surgical pathology: diagnosis of tumors and pseudotumoral lesions of bone and joints. Churchill Livingstone, Edinburgh, pp 519–670 Forest M, Amouroux J (1997) Pathology of pseudotumoral lesions. In: Forest M, Tomeno B, Vanel D (eds) Orthopedic surgical pathology: diagnosis of tumors and pseudotumoral lesions of bone and joints. Churchill Livingstone, Edinburgh, pp 519–670
3.
Zurück zum Zitat Resnick D (1995) Tumors and tumor-like lesions of bone: radiographic principles. In: Resnick D (ed) Diagnosis of bone and joint disorders. Saunders, Philadelphia, pp 3613–3627 Resnick D (1995) Tumors and tumor-like lesions of bone: radiographic principles. In: Resnick D (ed) Diagnosis of bone and joint disorders. Saunders, Philadelphia, pp 3613–3627
4.
Zurück zum Zitat Resnick D, Kyriakos M, Greenway GD (1995) Tumors and tumor-like lesions of bone: imaging and pathology of specific lesions. In: Resnick D (ed) Diagnosis of bone and joint disorders. Saunders, Philadelphia, pp 3628–3938 Resnick D, Kyriakos M, Greenway GD (1995) Tumors and tumor-like lesions of bone: imaging and pathology of specific lesions. In: Resnick D (ed) Diagnosis of bone and joint disorders. Saunders, Philadelphia, pp 3628–3938
5.
Zurück zum Zitat Magid D (1993) Two-dimensional and three-dimensional computed tomographic imaging in musculoskeletal tumors. Radiol Clin North Am 31:425–447PubMed Magid D (1993) Two-dimensional and three-dimensional computed tomographic imaging in musculoskeletal tumors. Radiol Clin North Am 31:425–447PubMed
6.
Zurück zum Zitat Bloem JL, Kroon HM (1993) Imaging of bone and soft tissue tumors: osseous lesions. Radiol Clin North Am 31:261–278PubMed Bloem JL, Kroon HM (1993) Imaging of bone and soft tissue tumors: osseous lesions. Radiol Clin North Am 31:261–278PubMed
7.
Zurück zum Zitat Berquist TH (1993) Magnetic resonance imaging of primary skeletal neoplasms. Radiol Clin North Am 31:411–424PubMed Berquist TH (1993) Magnetic resonance imaging of primary skeletal neoplasms. Radiol Clin North Am 31:411–424PubMed
8.
Zurück zum Zitat Kransdorf MJ, Stull MA, Gilkey FW, Moser RP (1991) Osteoid osteoma. Radiographics 11:671–669PubMed Kransdorf MJ, Stull MA, Gilkey FW, Moser RP (1991) Osteoid osteoma. Radiographics 11:671–669PubMed
9.
Zurück zum Zitat Assoun J, Richardi G, Railhac JJ et al. (1994) Osteoid osteoma: MR imaging versus CT. Radiology 191:217–223PubMed Assoun J, Richardi G, Railhac JJ et al. (1994) Osteoid osteoma: MR imaging versus CT. Radiology 191:217–223PubMed
10.
Zurück zum Zitat Woertler K, Vestring T, Boettner F, Winkelmann W, Heindel W, Lindner N (2001) Osteoid osteoma: CT-guided percutaneous radiofrequency ablation and follow-up in 47 patients. J Vasc Interv Radiol 12:717–722PubMed Woertler K, Vestring T, Boettner F, Winkelmann W, Heindel W, Lindner N (2001) Osteoid osteoma: CT-guided percutaneous radiofrequency ablation and follow-up in 47 patients. J Vasc Interv Radiol 12:717–722PubMed
11.
Zurück zum Zitat Davies M, Cassar-Pullicino VN, Davies AM, McCall IW, Tyrrell PNM (2002) The diagnostic accuracy of MR imaging in osteoid osteoma. Skeletal Radiol 31:559–569CrossRefPubMed Davies M, Cassar-Pullicino VN, Davies AM, McCall IW, Tyrrell PNM (2002) The diagnostic accuracy of MR imaging in osteoid osteoma. Skeletal Radiol 31:559–569CrossRefPubMed
12.
Zurück zum Zitat Murphey MD, Andrews CL, Flemming DJ, Temple HT, Smith WS, Smirniotopoulos JG (1996) Primary tumors of the spine: radiologic–pathologic correlation. Radiographics 16:1131–1158PubMed Murphey MD, Andrews CL, Flemming DJ, Temple HT, Smith WS, Smirniotopoulos JG (1996) Primary tumors of the spine: radiologic–pathologic correlation. Radiographics 16:1131–1158PubMed
13.
Zurück zum Zitat McGrath BE, Bush CH, Nelson TE, Scarborough MT (1996) Evaluation of suspected osteoid osteoma. Clin Orthop 327:247–252PubMed McGrath BE, Bush CH, Nelson TE, Scarborough MT (1996) Evaluation of suspected osteoid osteoma. Clin Orthop 327:247–252PubMed
14.
Zurück zum Zitat Levine E, Neff JR (1983) Dynamic computed tomography scanning of benign bone lesions: preliminary results. Skeletal Radiol 9:238–245PubMed Levine E, Neff JR (1983) Dynamic computed tomography scanning of benign bone lesions: preliminary results. Skeletal Radiol 9:238–245PubMed
15.
Zurück zum Zitat Kroon HM, Schurmans J (1990) Osteoblastoma: clinical and radiologic findings in 98 new cases. Radiology 175:783–790PubMed Kroon HM, Schurmans J (1990) Osteoblastoma: clinical and radiologic findings in 98 new cases. Radiology 175:783–790PubMed
16.
Zurück zum Zitat Shaikh MI, Saifuddin A, Pringle J, Natali C, Sherazi Z (1999) Spinal osteoblastoma: CT and MR imaging with pathological correlation. Skeletal Radiol 28:33–40CrossRefPubMed Shaikh MI, Saifuddin A, Pringle J, Natali C, Sherazi Z (1999) Spinal osteoblastoma: CT and MR imaging with pathological correlation. Skeletal Radiol 28:33–40CrossRefPubMed
17.
Zurück zum Zitat Brien EW, Mirra JM, Kerr R (1997) Benign and malignant cartilage tumors of bone and joint: their anatomic and theoretical basis with an emphasis on radiology, pathology and clinical biology. I. The intramedullary cartilage tumors. Skeletal Radiol 26:325–353CrossRefPubMed Brien EW, Mirra JM, Kerr R (1997) Benign and malignant cartilage tumors of bone and joint: their anatomic and theoretical basis with an emphasis on radiology, pathology and clinical biology. I. The intramedullary cartilage tumors. Skeletal Radiol 26:325–353CrossRefPubMed
18.
Zurück zum Zitat Murphey MD, Flemming DJ, Boyea SR, Bojescul JA, Sweet DE, Temple HT (1998) Enchondroma versus chondrosarcoma in the appendicular skeleton: differentiating features. Radiographics 18:1213–1237PubMed Murphey MD, Flemming DJ, Boyea SR, Bojescul JA, Sweet DE, Temple HT (1998) Enchondroma versus chondrosarcoma in the appendicular skeleton: differentiating features. Radiographics 18:1213–1237PubMed
19.
Zurück zum Zitat Geirnaerdt MJA, Hermans J, Bloem JL, Kroon HM, Pope TL, Taminiau AHM, Hogendoorn PC (1997) Usefulness of radiography in differentiating enchondroma from central grade 1 chondrosarcoma. Am J Roentgenol 169:1097–2004 Geirnaerdt MJA, Hermans J, Bloem JL, Kroon HM, Pope TL, Taminiau AHM, Hogendoorn PC (1997) Usefulness of radiography in differentiating enchondroma from central grade 1 chondrosarcoma. Am J Roentgenol 169:1097–2004
20.
Zurück zum Zitat Aoki J, Sone S, Fujioka F et al. (1991) MR of enchondroma and chondrosarcoma: rings and arcs of Gd-DTPA enhancement. J Comput Assist Tomogr 15:1011–1016 Aoki J, Sone S, Fujioka F et al. (1991) MR of enchondroma and chondrosarcoma: rings and arcs of Gd-DTPA enhancement. J Comput Assist Tomogr 15:1011–1016
21.
Zurück zum Zitat Geirnaerdt MJA, Hogendoorn PCW, Bloem JL, Taminiau AHM, van der Woude HJ (2000) Cartilaginous tumors: fast contrast-enhanced MR imaging. Radiology 214:539–546PubMed Geirnaerdt MJA, Hogendoorn PCW, Bloem JL, Taminiau AHM, van der Woude HJ (2000) Cartilaginous tumors: fast contrast-enhanced MR imaging. Radiology 214:539–546PubMed
22.
Zurück zum Zitat De Beuckeleer LHL, De Schepper AMA, Ramon F (1996) Magnetic resonance imaging of cartilaginous tumors: Is it useful or necessary? Skeletal Radiol 25:137–141CrossRefPubMed De Beuckeleer LHL, De Schepper AMA, Ramon F (1996) Magnetic resonance imaging of cartilaginous tumors: Is it useful or necessary? Skeletal Radiol 25:137–141CrossRefPubMed
23.
Zurück zum Zitat De Beuckeleer LHL, De Schepper AMA, Ramon F, Somville J (1995) Magnetic resonance imaging of cartilaginous tumors: a retrospective study of 79 patients. Eur J Radiol 21:34–40CrossRefPubMed De Beuckeleer LHL, De Schepper AMA, Ramon F, Somville J (1995) Magnetic resonance imaging of cartilaginous tumors: a retrospective study of 79 patients. Eur J Radiol 21:34–40CrossRefPubMed
24.
Zurück zum Zitat Woertler K, Lindner N, Gosheger G, Brinkschmidt C, Heindel W (2000) Osteochondroma: MR imaging of tumor-related complications. Eur Radiol 10:823–840CrossRef Woertler K, Lindner N, Gosheger G, Brinkschmidt C, Heindel W (2000) Osteochondroma: MR imaging of tumor-related complications. Eur Radiol 10:823–840CrossRef
25.
Zurück zum Zitat Geirnaerdt MJA, Bloem JL, Eulderink F, Hogendoorn PCW, Taminiau AHM (1993) Cartilaginous tumours: correlation of gadolinium-enhanced MR imaging and histopathologic findings. Radiology 186:813–817PubMed Geirnaerdt MJA, Bloem JL, Eulderink F, Hogendoorn PCW, Taminiau AHM (1993) Cartilaginous tumours: correlation of gadolinium-enhanced MR imaging and histopathologic findings. Radiology 186:813–817PubMed
26.
Zurück zum Zitat Brien EW, Mirra JM, Luck JV (1999) Benign and malignant cartilage tumors of bone and joint: their anatomic and theoretical basis with an emphasis on radiology, pathology and clinical biology. II. Juxtacortical cartilage tumors. Skeletal Radiol 28:1–20PubMed Brien EW, Mirra JM, Luck JV (1999) Benign and malignant cartilage tumors of bone and joint: their anatomic and theoretical basis with an emphasis on radiology, pathology and clinical biology. II. Juxtacortical cartilage tumors. Skeletal Radiol 28:1–20PubMed
27.
Zurück zum Zitat Lee JK, Yao L, Wirth CR (1987) MR imaging of solitary osteochondroma: report of eight cases. Am J Roentgenol 149:557–560 Lee JK, Yao L, Wirth CR (1987) MR imaging of solitary osteochondroma: report of eight cases. Am J Roentgenol 149:557–560
28.
Zurück zum Zitat Malghem J, Vande Berg B, Noel H, Maldague B (1992) Benign osteochondromas and exostotic chondrosarcoma: evaluation of cartilage cap thickness by ultrasound. Skeletal Radiol 21:33–37PubMed Malghem J, Vande Berg B, Noel H, Maldague B (1992) Benign osteochondromas and exostotic chondrosarcoma: evaluation of cartilage cap thickness by ultrasound. Skeletal Radiol 21:33–37PubMed
29.
Zurück zum Zitat Hudson TM, Springfield DS, Spanier SS, Enneking WF, Hamlin DJ (1984) Benign exostoses and exostotic chondrosarcomas: evaluation of cartilage thickness by CT. Radiology 152:595–599PubMed Hudson TM, Springfield DS, Spanier SS, Enneking WF, Hamlin DJ (1984) Benign exostoses and exostotic chondrosarcomas: evaluation of cartilage thickness by CT. Radiology 152:595–599PubMed
30.
Zurück zum Zitat Propeck T, Bullard MA, Lin J, Doi K, Martel W (2000) Radiologic–pathologic correlation of intraosseous lipomas. AJR 175:673–678PubMed Propeck T, Bullard MA, Lin J, Doi K, Martel W (2000) Radiologic–pathologic correlation of intraosseous lipomas. AJR 175:673–678PubMed
31.
Zurück zum Zitat Laredo JD, Assouline E, Gelbert F, Wybier M, Merland JJ, Tubiana JM (1990) Vertebral hemangiomas: fat content as a sign of aggressiveness. Radiology 177:467–472PubMed Laredo JD, Assouline E, Gelbert F, Wybier M, Merland JJ, Tubiana JM (1990) Vertebral hemangiomas: fat content as a sign of aggressiveness. Radiology 177:467–472PubMed
32.
Zurück zum Zitat Murphey MD, Nomikos GC, Flemming DJ, Gannon FH, Temple HT, Kransdorf MJ (2001) Imaging of giant cell tumor and giant cell reparative granuloma of bone: radiologic–pathologic correlation. Radiographics 21:1283–1309PubMed Murphey MD, Nomikos GC, Flemming DJ, Gannon FH, Temple HT, Kransdorf MJ (2001) Imaging of giant cell tumor and giant cell reparative granuloma of bone: radiologic–pathologic correlation. Radiographics 21:1283–1309PubMed
33.
Zurück zum Zitat Aoki J, Tanikawa H, Ishii K, Seo GS, Karakida O, Sone S, Ichikawa T, Kachi K (1996) MR findings indicative of hemosiderin in giant-cell tumor of bone: frequency, cause, and diagnostic significance. Am J Roentgenol 166:145–148PubMed Aoki J, Tanikawa H, Ishii K, Seo GS, Karakida O, Sone S, Ichikawa T, Kachi K (1996) MR findings indicative of hemosiderin in giant-cell tumor of bone: frequency, cause, and diagnostic significance. Am J Roentgenol 166:145–148PubMed
34.
Zurück zum Zitat Woertler K, Blasius S, Hillmann A, Brinkschmidt C, Heindel W (2000) MR morphology of primary aneurysmal bone cyst: a retrospective analysis of 38 cases. Rofo Fortschr Rontgenstr 172:591–596CrossRef Woertler K, Blasius S, Hillmann A, Brinkschmidt C, Heindel W (2000) MR morphology of primary aneurysmal bone cyst: a retrospective analysis of 38 cases. Rofo Fortschr Rontgenstr 172:591–596CrossRef
35.
Zurück zum Zitat Vergel de Dios AM, Bond JR, Shives TC, McLeod RA, Unni KK (1992) Aneurysmal bone cyst: a clinicopathologic study of 238 cases. Cancer 69:2921–2931PubMed Vergel de Dios AM, Bond JR, Shives TC, McLeod RA, Unni KK (1992) Aneurysmal bone cyst: a clinicopathologic study of 238 cases. Cancer 69:2921–2931PubMed
36.
Zurück zum Zitat Kransdorf MJ, Sweet DE (1995) Aneurysmal bone cyst: concept, controversy, clinical presentation, and imaging. Am J Roentgenol 164:573–580 Kransdorf MJ, Sweet DE (1995) Aneurysmal bone cyst: concept, controversy, clinical presentation, and imaging. Am J Roentgenol 164:573–580
37.
Zurück zum Zitat Woertler K, Brinkschmidt C (2002) Imaging features of subperiosteal aneurysmal bone cyst. Acta Radiol 43:336–339CrossRefPubMed Woertler K, Brinkschmidt C (2002) Imaging features of subperiosteal aneurysmal bone cyst. Acta Radiol 43:336–339CrossRefPubMed
38.
Zurück zum Zitat Murphey MD, Flemming DJ, Torop AH, Smith SE, Sonin AH, Temple HT (1998) Imaging differentiation of primary and secondary aneurysmal bone cyst with pathologic correlation. Radiology 209:311 Murphey MD, Flemming DJ, Torop AH, Smith SE, Sonin AH, Temple HT (1998) Imaging differentiation of primary and secondary aneurysmal bone cyst with pathologic correlation. Radiology 209:311
39.
Zurück zum Zitat Hudson TM (1984) Fluid levels in aneurysmal bone cyst: a CT feature. Am J Roentgenol 142:1001–1004 Hudson TM (1984) Fluid levels in aneurysmal bone cyst: a CT feature. Am J Roentgenol 142:1001–1004
40.
Zurück zum Zitat Sullivan RJ, Meyer JS, Dormans JP, Davidson RS (1999) Diagnosing aneurysmal and unicameral bone cysts with magnetic resonance imaging. Clin Orthop 366:186–190 Sullivan RJ, Meyer JS, Dormans JP, Davidson RS (1999) Diagnosing aneurysmal and unicameral bone cysts with magnetic resonance imaging. Clin Orthop 366:186–190
41.
Zurück zum Zitat Davies AM, Pikoulas C, Griffith J (1994) MRI of eosinophilic granuloma. Eur J Radiol 18:205–209PubMed Davies AM, Pikoulas C, Griffith J (1994) MRI of eosinophilic granuloma. Eur J Radiol 18:205–209PubMed
42.
Zurück zum Zitat Beltran J, Aparisi F, Bonmati LM, Rosenberg ZS, Present D, Steiner GC (1993) Eosinophilic granuloma: MRI manifestations. Skeletal Radiol 22:157–161PubMed Beltran J, Aparisi F, Bonmati LM, Rosenberg ZS, Present D, Steiner GC (1993) Eosinophilic granuloma: MRI manifestations. Skeletal Radiol 22:157–161PubMed
43.
Zurück zum Zitat Monroc M, Ducou le Pointe H, Haddad S, Josset P, Montagne JP (1994) Soft tissue signal abnormality associated with eosinophilic granuloma. Correlation of MR imaging with pathologic findings. Pediatr Radiol 24:328–332PubMed Monroc M, Ducou le Pointe H, Haddad S, Josset P, Montagne JP (1994) Soft tissue signal abnormality associated with eosinophilic granuloma. Correlation of MR imaging with pathologic findings. Pediatr Radiol 24:328–332PubMed
44.
Zurück zum Zitat Remedios D, Saifuddin A, Pringle J (1997) Radiological and clinical recurrence of giant cell tumor of bone after the use of cement. J Bone Joint Surg Br 79:26–30CrossRefPubMed Remedios D, Saifuddin A, Pringle J (1997) Radiological and clinical recurrence of giant cell tumor of bone after the use of cement. J Bone Joint Surg Br 79:26–30CrossRefPubMed
45.
Zurück zum Zitat Pinto CH, Taminiau AHM, Vanderschueren GM, Hogendoorn PCW, Bloem JL, Obermann WR (2002) Technical considerations in CT-guided radiofrequency ablation of osteoid osteoma: tricks of the trade. Am J Roentgenol 179:1633–1642 Pinto CH, Taminiau AHM, Vanderschueren GM, Hogendoorn PCW, Bloem JL, Obermann WR (2002) Technical considerations in CT-guided radiofrequency ablation of osteoid osteoma: tricks of the trade. Am J Roentgenol 179:1633–1642
Metadaten
Titel
Benign bone tumors and tumor-like lesions: value of cross-sectional imaging
verfasst von
Klaus Woertler
Publikationsdatum
01.08.2003
Verlag
Springer-Verlag
Erschienen in
European Radiology / Ausgabe 8/2003
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-003-1902-z

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