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    Bone tumours

    The basic principles about how an osseous lesion on x-ray should be evaluated and described.

    Bone tumours
    Radiology Expert
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    Bone Tumours - Introduction

    In practice, we sometimes (unexpectedly) encounter osseous lesions on x-ray examination. This module will briefly describe how an osseous lesion on x-ray should be approached. Following a step-by-step plan, we will attempt to arrive at a (differential) diagnosis.
    Bone tumours are rare; for this reason, the diagnosis and treatment usually takes place in specialist hospitals. The patients are discussed within specialist multidisciplinary teams (which include an orthopaedic surgeon, oncologist, radiotherapist, radiologist and pathologist).

    Unfortunately, a discussion of the full spectrum of bone tumours is beyond the scope of this course. The primary goal of this course is to provide an overview, to give insight into how an osseous lesion on conventional examination should be accurately described, and to outline the most significant benign and malignant features of osseous lesions.


    • Periosteal Reactions
    • Chondroid/Osteoid Matrix Formation
    • Osteolysis and Sclerosis
    • Enchondroma
    • Osteochondroma
    • Chondrosarcoma
    • Bone Island
    • Osteoid osteoma
    • Osteosarcoma
    • Non-ossifying fibroma
    • Fibrous Dysplasia
    • Simple bone cyst
    • Aneurysmal Bone Cyst
    • Intra-osseous ganglion
    • Giant cell tumor
    • Morbus Paget
    • Multiple myeloma
    • Osseous metastases
    osseous lesions with chondriod and osteoid matrix osseous lesions with chondriod and osteoid matrix
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    Literature: sources and author


    drs. A. van der Plas (MSK radiologist Maastricht UMC+)

    With special thanks to:
    drs. W. Huijgen (MSK radiologist HagaZiekenhuis Den Haag)


    drs. A. van der Plas (MSK radiologist Maastricht UMC+)


    • A.M. Davies et al. Imaging of Bone Tumors and Tumor-Like Lesions (2009)
    • A. Franchi; Epidemiology and classification of bone tumors. Clin Cases Miner Bone Metab. 2012.


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