Abstract
We evaluated the radiologic studies of 30 medullary chondrosarcomas with respect to their accuracy in diagnosis and surgical staging. There were 30 sets of plain radiographs, 14 conventional tomograms, 26 radionuclide bone scans, 19 arteriograms, and 15 computed tomograms (CT). Plain radiographs provided most of the diagnostic information although many tumours looked benign. CT provided the most complete anatomic staging, including intra- and extraosseous tumor, and neurovascular involvement. However, it was difficult to be sure about subtle soft tissue invasion. Arteriography remained useful for evaluating major vessel involvement of cortical penetration when CT and conventional tomography were equivocal. Scintigrams disclosed increased uptake, usualy corresponding to the true tumor extent; “extended uptake” beyond the tumor was uncommon. Conventional tomography has been largely replaced by CT, but was occasionally useful when the tumor was near the end of a bone.
Similar content being viewed by others
References
Chew FS, Hudson TM (1982) Radionuclide bone scanning of osteosarcoma. AJR 139:49
Dahlin DC, Beabout JW (1971) Dedifferentiation of lowgrade chondrosarcomas. Cancer 28:461
de Santos LA, Goldstein HM, Murray JA, Wallace S (1978) Computed tomography in the evaluation of musculoskeletal neoplasms. Radiology 128:89
Dibos PE, Wagner HN (1978) Atlas of nuclear medicine:-Bone, 1st edn. Saunders, Philadelphia
Edeiken J, Hodes PJ (1973) Roentgen diagnosis of diseases of bone, 2nd edn. Williams and Wilkins, Baltimore
Enneking WF (1977) Clinical musculoskeletal pathology. Storter Printing, Gainesville
Enncking WF, Dunham WK (1978) Resection and reconstruction for primary neoplasms involving the innominate bone. J Bone Joint Surg [Am] 60:731
Enncking WF, Spanier SS, Goodman MA (1980) A system for the surgical staging of musculoskeletal sarcoma. Clin Orthop 153:106
Evans HL, Ayala AG, Romsdahl MM (1977) Prognostic features in chondrosarcoma of bone. Cancer 40:818
Finkelstein JB (1975) Tomography and angiography in the evaluation of bone lesions. In: MD Anderson Hospital and Tumor Institute. Radiologic and other biophysical methods in tumor diagnosis. Year Book Medical Publishers, Chicago
Goldman AB, Braustein P (1975) Augmented radioactivity on bone scans of limbs bearing osteosarcomas. J Nucl Med 16:423
Hawkins IF, Hudson TM (1974) Priscoline in bone and soft tissue angiography. Radiology 110:541
Heelan RT, Watson RC, Smith J (1979) Computed tomography of lower extremity tumors. AJR 132:933
Hudson TM, Hawkins IF (1981) Radiological evaluation of chondroblastoma. Radiology 139:1
Hudson TM, Chew FS, Manster BJ (1982) Radionuclide bone scanning of medullary chondrosarcoma. AJR 139:1071
Hudson TM, Enneking WF, Hawkins IF (1981) The value of angiography in paanning surgical treatment of bone tumors. Radiology 138:283
Jones ET, Kuhns LR (1981) Pitfalls in the use of computed tomography for musculoskeletal tumors in children. J Bone Joint Surg [Am] 63:1297
Lagergren C, Lindbom A, Soderberg G (1961) The blood vessels of chondrosarcomas. Acta Radiol [Diagn] (Stockh) 55:321
Levine E, Lee KR, Neff JR, Maklad NF, Robinson RG, Preston DF (1979) Comparison of computed tomography and other imaging modalities in the evaluation of musculoskeletal tumors. Radiology 131:431
Lodwick GS, Wilson AJ, Farrell C, Virtama P, Dittrich F (1980) Determining growth rates of focal lesions of bone from radiographs. Radiology 134:577
Middlemiss JH (1964) Cartilage tumours. Br J Radiol 37:277
reiter FB, Ackerman LV, Staple TW (1972) Central chondrosarcoma of the appendicular skeleton. Radiology 105:525
Romsdahl MM, Evans HL, Avala AG (1977) Surgical treatment of chondrosarcoma. In: MD Anderson Hospital and Tumor Institute. Management of primary bone and soft tissue tumors. Year Book Medical Publishers, Chicago
Sneppen O, Heerfordt J, Dissing I, Jensen M, Moller J, Norbjerg M (1978) Numerical assessment of bone scintigraphy in primary bone tumors and tumor-like conditions. J Bone Joint Surg [Am] 60:966
Strickland B (1959) The value of arteriography in the diagnosis of bone tumours. Br J Radiol 32:705
Thrall JH, Geslien GE, Corcoran RJ, Johnson MC (1975) Abnormal radionuclide deposition patterns adjacent to focal skeletal lesions. Radiology 115:659
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Hudson, T.M., Manaster, B.J., Springfield, D.S. et al. Radiology of medullary chondrosarcoma: Preoperative treatment planning. Skeletal Radiol 10, 69–78 (1983). https://doi.org/10.1007/BF00360788
Issue Date:
DOI: https://doi.org/10.1007/BF00360788