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Dorfman and Czerniak’s Bone Tumors E-Book

Dorfman and Czerniak’s Bone Tumors E-Book

Bogdan Czerniak

(2015)

Additional Information

Book Details

Abstract

The second edition of Dorfman and Czerniak's Bone Tumors brings together the latest data available on bone tumor pathology, making it the most comprehensive and encyclopedic reference on the epidemiology, clinical, pathologic, and molecular aspects of bone tumors. Now offered in full color and featuring updated imaging throughout, this one-of-a-kind resource provides a highly visual review of every disorder — from the common to the rare.

  • Features comprehensive coverage of bone tumor pathology based on pathologic and clinical data on 11,500 benign and malignant bone tumors from patients treated at the MD Anderson Cancer Center.
  • High-quality full-color images located throughout the text.
  • Completely up-to-date molecular and genetic information is based on the most current genomic databases.
  • Four brand-new chapters cover Radiographic Imaging of Bone Tumors; Hematopoetic Tumors; Neural Tumors; and Metastic Tumors of Bone.
  • Includes information on molecular and genetic aspects of bone tumors from the UCSC Genome Browser, the Catologue of Somatic Mutations in Cancer, and the GeneCards Database of human genes.
  • Features comprehensive data from nearly 30,000 benign and malignant primary bone tumors and tumor-like lesions from different sources, including over 8,400 malignant bone tumors from the National Cancer Institute’s Surveillance, Epidemiology and End Result project.
  • Provides an enhanced visual understanding with updated radiographic imaging and new full-color, high-quality photomicrographs.
  • Updated Molecular and Epidemiologic diagrams added to all new chapters.

Table of Contents

Section Title Page Action Price
Front Cover cover
Expert Consult page IFC1
Dorfman and Czerniak's Bone Tumors i
Copyright Page iv
Dedication v
Preface vi
Foreword viii
Preface to the First Edition x
Contributors xii
Table Of Contents xiii
1 General Considerations 1
Chapter Outline 1
Introduction 1
Morphology of Normal Bone 3
Topographic Features 3
Bone 3
Cartilage 4
Extracellular Matrix 4
Collagen 7
Proteoglycans 7
Bone Mineral 8
Cells 8
Osteoblasts 8
Osteocytes 8
Osteoclasts 8
Chondroblasts 10
Chondrocytes 12
Development of Bone 12
Processing of Bone Specimens 12
Intraoperative Diagnostic Procedures 12
Biopsy and Curettage 14
Resection and Amputation Specimens 16
Staging, Grading, and Reporting of Bone Tumors 17
Staging Systems 17
Grading Systems 23
Reporting of Bone Tumors 24
General Epidemiology of Bone Tumors 24
Special Techniques 28
Special Stains 30
Periodic Acid-Schiff Stain 30
Mucins 30
Trichrome Stain 30
Stains for Microorganisms 30
Argentaffin and Argyrophilic Stains 32
Reticulin Stain 32
Amyloid Stain 32
Hemosiderin 32
Melanin Stain 32
Calcium Stain 32
Enzyme Histochemistry 32
Electron Microscopy 32
Cytometry and Histomorphometry 33
Flow Cytometry 34
Image Analysis 36
Histomorphometry 37
Immunohistochemistry 37
Intermediate Filaments 39
Epithelial Markers 41
Muscle Markers 41
Vascular Markers 45
Neural Markers 45
Miscellaneous Antigens 46
Lineage-Specific Transcription Factors 46
Cytogenetics 47
References 49
Introduction 49
Morphology of Normal Bone 49
Processing of Bone Specimens 50
Staging, Grading, and Reporting of Bone Tumors 50
General Epidemiology of Bone Tumors 51
Special Stains 52
Electron Microscopy 52
Cytometry and Histomorphometry 53
Immunohistochemistry 53
Cytogenetics 55
2 Clinical Considerations and Imaging of Bone Tumors 57
Chapter Outline 57
Introduction 57
Clinical Considerations 57
Age 59
Location 59
Initial Staging 59
Diagnostic Principles 59
Imaging Modalities 62
Imaging Characterization of Primary Bone Tumors 63
Response to Therapy 82
Primary Bone Tumors 82
Bone Metastases 85
Restaging and Oncologic Surveillance 88
Local Recurrence 88
Distant Metastases 89
Conclusion 93
References 93
3 Molecular Biology of Bone Tumors 96
Chapter Outline 96
Molecular Techniques 96
Hybridization Techniques 96
Southern Blotting 97
Northern Blotting 97
Western Blotting 97
Polymerase Chain Reaction 98
Genomic Sequencing 99
High Throughput Genomic Profiling 100
Molecular Biology of Bone Formation 101
Osteoblastic Lineage 103
Chondroblastic Lineage 103
Osteoclastic Lineage 106
Mechanisms of Malignant Transformation 106
RAS Genes 108
TP53 Gene 110
RB Gene 112
DNA Helicases 114
Chromosomal Translocations 114
Karyotyping 119
Fluorescence In Situ Hybridization 119
Sequencing of Fusion Transcripts 124
Chromothripsis 125
Cell-Cycle and Mitotic Regulation 125
Molecular Concepts of Bone Neoplasia 131
Osteosarcoma 131
Chondrosarcoma 132
Chordoma 133
Ewing’s Sarcoma 133
References 135
Molecular Techniques 135
Molecular Biology of Bone Formation 136
Mechanisms of Malignant Transformation 138
Cell-Cycle and Mitotic Regulation 140
Molecular Concepts of Bone Neoplasia 141
4 Benign Osteoblastic Tumors 144
Chapter Outline 144
Osteoid Osteoma 145
Definition 145
Incidence and Location 145
Clinical Symptoms 145
Radiographic Imaging 147
Gross Findings 147
Microscopic Findings 147
Differential Diagnosis 147
Treatment and Behavior 160
Osteoid Osteoma in Different Anatomic Sites 160
Osteoid Osteoma of Long Tubular Bones 160
Osteoid Osteoma of Small Bones of Hands and Feet 163
Osteoid Osteoma of Vertebral Column 163
Juxtaarticular Osteoid Osteoma 163
Subperiosteal Osteoid Osteoma 163
Personal Comments 167
Benign Osteoblastoma 167
Definition 167
Incidence and Location 167
Radiographic Imaging 167
Gross Findings 174
Microscopic Findings 174
Differential Diagnosis 174
Treatment and Behavior 174
Aggressive Osteoblastoma 181
Definition 181
Incidence and Location 181
Radiographic Imaging 181
Gross Findings 181
Microscopic Findings 181
Differential Diagnosis 189
Personal Comments 189
References 197
5 Osteosarcoma 200
Chapter Outline 200
Intramedullary Osteosarcoma 200
Conventional Osteosarcoma 200
Definition 200
Incidence and Location 200
Clinical Symptoms 201
Radiographic Imaging 201
Gross Findings 215
Microscopic Findings 215
Osteosarcoma with Unique Microscopic Features. 242
Pathologic Assessment of Preoperative Chemotherapy Effect 246
Special Techniques 251
Differential Diagnosis 259
Treatment and Behavior 261
Conventional Osteosarcoma in Different Anatomic Sites 262
Osteosarcoma of Appendicular Skeleton. 262
Osteosarcoma of Craniofacial Bones. 262
Osteosarcoma of Flat Bones and Ribs. 271
Osteosarcoma of Vertebral Column. 271
Personal Comments 271
Telangiectatic Osteosarcoma 275
Definition 275
Incidence and Location 275
Clinical Symptoms 275
Radiographic Imaging 275
Gross Findings 275
Microscopic Findings 275
Special Techniques 276
Differential Diagnosis 291
Clinical Behavior 291
Well-differentiated Intramedullary Osteosarcoma 291
Definition 291
Incidence and Location 291
Clinical Symptoms 291
Radiographic Imaging 291
Gross Findings 292
Microscopic Findings 292
Differential Diagnosis 297
Treatment and Behavior 297
Osteosarcoma Associated with Specific Clinical Syndromes 304
Secondary Osteosarcoma 304
Surface Osteosarcoma 309
Parosteal Osteosarcoma 309
Definition 309
Incidence and Location 309
Clinical Symptoms 310
Radiographic Imaging 310
Gross Findings 311
Microscopic Findings 311
Differential Diagnosis 322
Treatment and Behavior 328
Periosteal Osteosarcoma 328
Definition 328
Incidence and Location 328
Clinical Symptoms 328
Radiographic Imaging 328
Gross Findings 328
Microscopic Findings 328
Differential Diagnosis 329
Treatment and Behavior 331
High-grade Surface Osteosarcoma 331
Definition 331
Incidence and Location 331
Clinical Symptoms 331
Radiographic Imaging 331
Gross Findings 331
Microscopic Findings 332
Differential Diagnosis 332
Treatment and Behavior 342
Intracortical Osteosarcoma 342
Definition 342
Incidence and Location 342
Clinical Symptoms 342
Radiographic Imaging 342
6 Benign Cartilage Lesions 356
Chapter Outline 356
Enchondroma 356
Definition 356
Incidence and Location 356
Clinical Symptoms 357
Radiographic Imaging 357
Gross Findings 364
Microscopic Findings 364
Special Techniques 364
Differential Diagnosis 376
Enchondroma in Different Anatomic Sites 376
Enchondroma of the Small Bones of the Hands and Feet. 376
Enchondroma of Long Tubular Bones. 376
Enchondroma of Trunk Bones. 376
Treatment and Behavior 377
Personal Comments 377
Periosteal Chondroma 377
Definition 377
Incidence and Location 377
Clinical Symptoms 377
Radiographic Imaging 377
Gross Findings 378
Microscopic Findings 378
Special Techniques 386
Differential Diagnosis 386
Treatment and Behavior 386
Enchondromatosis 386
Ollier’s Disease 386
Definition 386
Incidence and Location 386
Clinical Symptoms 387
Radiographic Imaging 388
Gross Findings 395
Microscopic Findings 395
Special Techniques 395
Differential Diagnosis 395
Treatment and Behavior 396
Maffucci’s Syndrome 396
Malignant Transformation in Enchondromatosis 400
Chondroblastoma 400
Definition 400
Incidence and Location 400
Clinical Symptoms 400
Radiographic Imaging 405
Gross Findings 405
Microscopic Findings 416
Special Techniques 416
Differential Diagnosis 425
Treatment and Behavior 425
Personal Comments 425
Chondromyxoid Fibroma 425
Definition 425
Incidence and Location 426
Clinical Symptoms 426
Radiographic Imaging 426
Gross Findings 430
Microscopic Findings 430
Special Techniques 430
Differential Diagnosis 438
Treatment and Behavior 438
Personal Comments 438
Osteochondroma 438
Solitary Osteochondroma (Osteocartilaginous Exostosis) 441
Definition 441
Incidence and Location 441
Clinical Symptoms 441
Radiographic Imaging 441
Gross Findings 442
Microscopic Findings 450
Differential Diagnosis 450
Treatment and Behavior 450
Multiple Hereditary Exostoses 450
Malignant Transformation in Osteochondroma 458
References 467
Enchondroma 467
Periosteal Chondroma 467
Enchondromatosis 468
Ollier’s Disease 468
Maffucci’s Syndrome 469
Chondroblastoma 469
Chondromyxoid Fibroma 471
Osteochondroma 472
7 Malignant Cartilage Tumors 474
Chapter Outline 474
Intramedullary Chondrosarcoma 474
Conventional Chondrosarcoma 474
Definition 474
Incidence and Location 475
Clinical Symptoms 478
Radiographic Imaging 478
Gross Findings 478
Microscopic Findings 485
Grade 1 Chondrosarcoma. 485
Grade 2 Chondrosarcoma. 494
Grade 3 Chondrosarcoma. 494
Special Techniques 494
Differential Diagnosis 501
Conventional Chondrosarcoma in Different Anatomic Sites 502
Chondrosarcoma of Long Tubular Bones. 502
Chondrosarcoma of Flat Bones. 502
Chondrosarcoma of Ribs and Sternum. 502
Chondrosarcoma of Craniofacial Bones. 502
Chondrosarcoma of Vertebral Column and Sacrum. 506
Chondrosarcoma of Small Bones of Hands and Feet. 506
Treatment and Behavior 506
Personal Comments 506
Dedifferentiated Chondrosarcoma 510
Definition 510
Incidence and Location 510
Clinical Symptoms 510
Radiographic Imaging 511
Gross Findings 511
Microscopic Findings 516
Special Techniques 516
Differential Diagnosis 525
Treatment and Behavior 525
Clear Cell Chondrosarcoma 525
Definition 525
Incidence and Location 525
Clinical Symptoms 525
Radiographic Imaging 525
Gross Findings 526
Microscopic Findings 526
Special Techniques 535
Differential Diagnosis 535
Treatment and Behavior 535
Mesenchymal Chondrosarcoma 535
Definition 535
Incidence and Location 537
Clinical Symptoms 537
Radiographic Imaging 537
Gross Findings 541
Microscopic Findings 541
Special Techniques 541
Differential Diagnosis 559
Treatment and Behavior 559
Juxtacortical Chondrosarcoma 560
Definition 560
Incidence and Location 560
Clinical Symptoms 560
Radiographic Imaging 560
Gross Findings 560
Microscopic Findings 560
Differential Diagnosis 560
Secondary Chondrosarcomas 560
References 565
Intramedullary Chondrosarcoma 565
Dedifferentiated Chondrosarcoma 567
Clear Cell Chondrosarcoma 568
Mesenchymal Chondrosarcoma 568
Juxtacortical Chondrosarcoma 569
8 Fibrous Dysplasia and Related Lesions 570
Chapter Outline 570
Fibrous Dysplasia 570
Definition 572
Clinical Symptoms 572
Radiographic Imaging 578
Gross Findings 578
Microscopic Findings 578
Differential Diagnosis 591
Treatment and Behavior 591
Fibrous Dysplasia in Different Anatomic Sites 601
Fibrous Dysplasia of Craniofacial Bones. 601
Fibrous Dysplasia of Ribs. 601
Fibrous Dysplasia of Extremity Bones. 606
Fibrous Dysplasia of Flat Bones. 606
Personal Comments 606
Fibrocartilaginous Dysplasia 606
Incidence and Location 606
Clinical Symptoms 606
Radiographic Imaging 607
Gross Findings 607
Microscopic Findings 607
Differential Diagnosis 607
Clinical Behavior 614
References 614
Fibrous Dysplasia 614
Fibrocartilaginous Dysplasia 616
9 Fibrous and Fibrohistiocytic Lesions 617
Chapter Outline 617
Nonossifying Fibroma (Fibrous Cortical Defect) 617
Definition 617
Incidence and Location 617
Clinical Symptoms 617
Radiographic Imaging 617
Gross Findings 618
Microscopic Findings 618
Special Techniques 629
Differential Diagnosis 629
Treatment and Behavior 629
Personal Comments 629
Multifocal Nonossifying Fibroma Associated with Clinical Syndromes 634
Benign Fibrous Histiocytoma 634
Definition 634
Incidence and Location 634
Clinical Symptoms 634
Radiographic Imaging 634
Gross Findings 634
Microscopic Findings 634
Differential Diagnosis 638
Treatment and Behavior 638
Personal Comments 641
Fibromyxoma 641
Angiomatoid Fibrous Histiocytoma 641
Clinical Symptoms 641
Radiographic Imaging 641
Gross Findings 641
Microscopic Findings 641
Special Techniques 641
Treatment and Behavior 647
Skeletal Fibromatoses 647
Desmoplastic Fibroma 647
Definition 647
Incidence and Location 647
Clinical Symptoms 647
Radiographic Imaging 649
Gross Findings 649
Microscopic Findings 649
Special Techniques 651
Differential Diagnosis 657
Treatment and Behavior 657
Personal Comments 657
Juvenile Multifocal Myofibromatosis 658
Congenital Fibromatosis–like Fibrosarcoma (Infantile Fibrosarcoma) 658
Malignant Fibrous Histiocytoma 663
Definition 663
Incidence and Location 663
Radiographic Imaging 665
Gross Findings 665
Microscopic Findings 665
Special Techniques 665
Personal Comments 682
Differential Diagnosis 682
Treatment and Behavior 682
Fibrosarcoma 682
Definition 682
Incidence and Location 683
Clinical Symptoms 683
Radiographic Imaging 683
Gross Findings 685
Microscopic Findings 685
Differential Diagnosis 685
Treatment and Behavior 685
References 685
Nonossifying Fibroma 685
Benign Fibrous Histiocytoma 686
Fibromyxoma 687
Angiomatoid Fibrous Histiocytoma 687
Skeletal Fibromatoses 687
Juvenile Multifocal Myofibromatosis 688
Congenital Fibromatosis–like Fibrosarcoma (Infantile Fibrosarcoma) 689
Malignant Fibrous Histiocytoma 690
Fibrosarcoma 691
10 Giant Cell Lesions 692
Chapter Outline 692
Conventional Giant Cell Tumor of Bone 692
Definition 692
Incidence and Localization 692
Radiographic Imaging 693
Gross Findings 699
Microscopic Findings 699
Cytology 711
Differential Diagnosis 711
Treatment and Behavior 717
Special Techniques 720
Personal Comments 722
Conventional Giant Cell Tumor in Different Anatomic Sites 722
Giant Cell Tumor of Long Tubular Bones. 722
Giant Cell Tumor of Small Bones of Hands and Feet. 724
Giant Cell Tumor of Vertebral Column. 724
Giant Cell Tumor of Flat Bones. 727
Giant Cell Tumor of Craniofacial Bones. 727
Multifocal Conventional Giant Cell Tumor 728
Conventional Giant Cell Tumor with Pulmonary Metastases 730
Giant Cell Tumor in Paget’s Disease 730
Malignant Giant Cell Tumor 736
Secondary Malignant Giant Cell Tumor 736
Primary Malignant Giant Cell Tumor 736
Giant Cell Reparative Granuloma 742
Definition 742
Incidence and Location 742
Radiographic Imaging 742
Gross Findings 743
Microscopic Findings 743
Special Techniques 743
Differential Diagnosis 747
Treatment and Behavior 752
Personal Comments 752
Cherubism and Related Syndromes 752
References 755
Conventional Giant-Cell Tumor of Bone 755
Giant-Cell Reparative Granuloma 757
11 Ewing’s Sarcoma and Related Tumors 760
Chapter Outline 760
Chromosomal Translocations 760
Prototypic Chromosomal Translocations Involving EWSR1 and ETS Partners 762
Translocation t(11;22)(q24;q12) with EWSR1-FLI1 Chimeric Gene 762
Translocation t(21;22)(q22;q12) with EWSR1-ERG Chimeric Gene 764
Translocations with Alternative ETS Fusion Partners 765
Translocations with Non-ETS Fusion Partners 765
Unified Pathogenetic Concept of Ewing’s Sarcoma and Related Tumors 767
Ewing’s Sarcoma 770
Definition 770
Incidence and Location 770
Radiographic Imaging 772
Gross Findings 780
Microscopic Findings 780
Cytology 795
Electron Microscopic Findings 795
Treatment and Behavior 795
Primitive Neuroectodermal Tumor 800
Definition 800
Incidence and Location 800
Microscopic Findings 800
Electron Microscopic Findings 802
Treatment and Behavior 802
Askin’s Tumor 802
Immunohistochemical Features of Ewing’s Sarcoma and PNET 805
Differential Diagnosis of Small Round-Cell Tumors of Bone 809
References 811
Chromosomal Translocations 811
Unified Pathogenetic Concept of Ewing’s Sarcoma and Related Tumors 813
Ewing’s Sarcoma 813
Primitive Neuroectodermal Tumor 814
Askin’s Tumor 815
Immunohistochemical Features of Ewing’s Sarcoma and PNET 815
Differential Diagnosis of Small Round-Cell Tumors of Bone 816
12 Hematopoietic Tumors 817
Chapter Outline 817
Classification of Hematopoietic Tumors 817
Plasma Cell Myeloma and Plasma Cell Neoplasms 818
Definition 818
Clinical Features 818
Radiographic Imaging 821
Gross Findings 825
Microscopic Findings 825
Immunohistochemistry and Differential Diagnosis 825
Genetic Features and Pathogenesis 835
Amyloidosis Associated with Multiple Myeloma 840
Distinct Forms of Myeloma 840
Solitary Plasmacytoma of Bone. 841
Extramedullary Plasmacytoma. 841
Nonsecretory Myeloma. 841
Plasma Cell Leukemia. 842
Osteosclerotic Myeloma (POEMS). 842
Non-Hodgkin’s Lymphoma 842
Definition 842
Diffuse Large B-cell Lymphoma 843
Clinical Features 843
Radiographic Imaging 845
Gross Findings 845
Microscopic Findings 845
Immunohistochemical Stains and Differential Diagnosis 845
Genetic Features and Pathogenesis 851
Adult T-Cell Lymphoma/Leukemia 853
Definition 853
Clinical Features 853
Radiographic Findings 854
Microscopic Findings 855
Immunohistochemical Stains and Differential Diagnosis 855
Genetic Features and Pathogenesis 855
Classical Hodgkin’s Lymphoma 855
Definition 855
Clinical Features 855
Radiographic Imaging 858
Microscopic Findings 858
Immunohistochemical Stains and Differential Diagnosis 858
Genetic Features and Pathogenesis 862
Histiocytic and Dendritic Cell Proliferations 862
Langerhans Cell Histiocytosis 862
Definition 862
Clinical Features 863
Radiographic Imaging 864
Gross Findings 865
Microscopic Findings 871
Immunohistochemical Stains, Special Techniques, and Differential Diagnosis 871
Genetic Features and Pathogenesis 874
Erdheim-Chester Disease 875
Definition 875
Clinical Features 876
Treatment and Behavior 878
Radiographic Imaging 878
Microscopic Findings 878
Immunohistochemical Stains and Differential Diagnosis 879
Genetic Features and Pathogenesis 880
Sinus Histiocytosis with Massive Lymphadenopathy (Rosai-Dorfman Disease) 883
Definition 883
Clinical Features 883
Radiographic Imaging 883
Microscopic Findings 883
Genetic Features and Pathogenesis 885
Myeloid Sarcoma 885
Definition 885
Clinical Features 885
Radiographic Imaging 885
Microscopic Findings 887
Immunohistochemical Stains and Differential Diagnosis 887
Genetic Findings and Pathogenesis 887
Mastocytosis 890
Definition 890
Clinical Features 890
Radiographic Imaging 892
Microscopic Findings 893
Immunohistochemical Stains, Special Studies, and Differential Diagnosis 893
Genetic Features and Pathogenesis 896
References 896
Classification of Hematopoietic Tumors 896
Plasma Cell Myeloma and Plasma Cell Neoplasms 896
Non-Hodgkin’s Lymphoma 897
Classical Hodgkin’s Lymphoma 899
Histiocytic and Dendritic Cell Proliferations 899
Myeloid Sarcoma 900
Mastocytosis 901
13 Vascular Lesions 903
Chapter Outline 903
Benign Vascular Lesions 904
Hemangioma 904
Definition 904
Incidence and Location 904
Radiographic Imaging 904
Gross Findings 907
Microscopic Findings 908
Epithelioid Hemangioma 910
Differential Diagnosis 915
Treatment and Behavior 915
Hemangiomas in Different Anatomic Sites 916
Hemangiomas of Craniofacial Bones. 916
Hemangiomas of Vertebral Column. 916
Hemangiomas of Other Skeletal Sites. 916
Personal Comments 916
Lymphangioma and Lymphangiomatosis 919
Angiomatoses 919
Cystic Angiomatosis 919
Massive Osteolysis 922
Vascular Malformations 931
Glomus Tumor 931
Definition 932
Incidence and Location 932
Clinical Symptoms 932
Radiographic Imaging 932
Gross Findings 932
Microscopic Findings 939
Treatment and Behavior 942
Malignant Vascular Tumors 942
Epithelioid Hemangioendothelioma 942
Definition 942
Incidence and Location 942
Radiographic Imaging 942
Gross Findings 942
Microscopic Findings 942
Differential Diagnosis 956
Treatment and Behavior 956
Spindle-cell Hemangioendothelioma 965
Angiosarcoma 965
Definition 965
Incidence and Location 965
Radiographic Imaging 965
Microscopic Findings 965
Differential Diagnosis 975
Treatment and Behavior 975
Hemangiopericytoma 975
Definition 975
Incidence and Location 975
Radiographic Imaging 976
Microscopic Findings 976
Differential Diagnosis 976
Treatment and Behavior 978
Kaposi’s Sarcoma 978
Incidence and Location 978
Radiographic Imaging 978
Microscopic Findings 978
Differential Diagnosis 979
Treatment and Behavior 979
Reactive Vascular Lesions 979
Bacillary Angiomatosis of Bone 979
References 985
Benign Vascular Lesions 985
Lymphangioma and Lymphangiomatosis 986
Angiomatoses 986
Glomus Tumor 986
Malignant Vascular Tumors 987
Spindle-Cell Hemangioendothelioma 987
Angiosarcoma 987
Hemangiopericytoma 988
Kaposi’s Sarcoma 988
Reactive Vascular Lesions 989
14 Neurogenous Tumors and Neurofibromatosis Affecting Bone 990
Chapter Outline 990
Meningioma 990
Radiologic Features 992
Microscopic Findings 996
Clinical Behavior 999
Solitary Fibrous Tumor/Hemangiopericytoma Family Tumors 1006
Radiologic Features 1006
Gross Findings 1006
Microscopic Findings 1006
Myxopapillary Ependymoma 1008
Intraosseous Schwannoma 1008
Definition 1008
Incidence and Location 1008
Clinical Symptoms 1008
Radiographic Imaging 1012
Gross Findings 1012
Microscopic Findings 1012
Special Techniques 1012
Differential Diagnosis 1012
Treatment and Behavior 1012
Neurogenic Tumor Predisposition Syndromes 1012
Neurofibromatosis Type 1 1012
Clinical Symptoms 1020
Café Au Lait Spots. 1020
Neurofibroma. 1020
Schwannoma. 1025
Malignant Peripheral Nerve Sheath Tumor. 1025
Skeletal Anomalies. 1033
Neurofibromatosis Type 2 1038
Neurofibromatosis Type 3 (Schwannomatosis) 1038
Von Hippel-Lindau Disease 1043
Hemangioblastoma 1046
15 Cystic Lesions 1055
Chapter Outline 1055
Aneurysmal Bone Cyst 1055
Primary Aneurysmal Bone Cyst 1056
Definition 1056
Incidence and Location 1056
Clinical Symptoms 1057
Radiographic Imaging 1057
Gross Findings 1066
Microscopic Findings 1066
Differential Diagnosis 1066
Treatment and Behavior 1073
Secondary Aneurysmal Bone Cyst 1073
Definition 1073
Incidence and Location 1073
Radiographic Imaging 1073
Microscopic Findings 1076
Differential Diagnosis 1076
Treatment and Behavior 1076
Personal Comments 1076
Soft Tissue Aneurysmal Bone Cyst 1076
Solitary Bone Cyst 1076
Definition 1076
Incidence and Location 1076
Clinical Symptoms 1079
Radiographic Imaging 1079
Gross Findings 1085
Microscopic Findings 1085
Differential Diagnosis 1085
Treatment and Behavior 1085
Intraosseous Ganglion 1085
Definition 1085
Incidence and Location 1085
Clinical Symptoms 1085
Radiographic Imaging 1089
Gross Findings 1089
Microscopic Findings 1089
Differential Diagnosis 1089
Treatment and Behavior 1093
Epidermal Inclusion Cyst and Dermoid Cyst 1093
References 1096
Aneurysmal Bone Cyst 1096
Solitary Bone Cyst 1097
Intraosseous Ganglion 1098
Epidermal and Dermoid Cysts 1098
16 Miscellaneous Mesenchymal Tumors 1100
Chapter Outline 1100
Lipoma 1100
Definition 1100
Incidence and Location 1100
Intramedullary Lipoma 1100
Radiographic Imaging 1100
Gross Findings 1100
Microscopic Findings 1100
Intracortical and Subperiosteal Lipoma 1100
Parosteal Lipoma 1105
Liposarcoma 1105
17 Adamantinoma of Long Bone 1142
Chapter Outline 1142
Classic Adamantinoma 1142
Definition 1142
Incidence and Location 1143
Clinical Symptoms 1143
Radiographic Imaging 1143
Gross Findings 1144
Microscopic Findings 1144
Special Techniques 1153
Differential Diagnosis 1153
Differentiated (Osteofibrous Dysplasia–Like) Adamantinoma 1157
Definition 1157
Incidence and Location 1157
Clinical Symptoms 1157
Radiographic Imaging 1157
Gross Findings 1157
Microscopic Findings 1157
Treatment and Behavior (Classic and Differentiated Adamantinoma) 1157
Personal Comments 1158
Osteofibrous Dysplasia 1161
Definition 1162
Incidence and Location 1162
Radiographic Imaging 1162
Gross Findings 1163
Microscopic Findings 1163
Differential Diagnosis 1163
References 1171
Classic Adamantinoma 1171
Osteofibrous Dysplasia 1172
18 Chordoma and Related Lesions 1174
Chapter Outline 1174
Notochordal Rests and Benign Notochordal Tumors 1174
Differential Diagnosis 1179
Chordoma 1179
Definition 1179
Incidence and Location 1179
Clinical Symptoms 1184
Radiographic Imaging 1184
Gross Findings 1187
Histology 1187
Cytology 1187
Special Techniques 1187
Differential Diagnosis 1189
Treatment and Behavior 1206
Chondroid Chordoma 1206
Definition 1206
Controversy over Chondroid Chordoma 1206
Personal Comments 1206
Clinical Significance 1210
Dedifferentiated Chordoma 1210
Definition 1210
Incidence and Location 1210
Radiographic Imaging 1210
Gross Findings 1210
Microscopic Findings 1210
Differential Diagnosis 1214
Treatment and Behavior 1214
References 1214
Introduction 1214
Notochordal Rests and Benign Notochordal Tumors 1214
Chordoma 1214
Chondroid Chordoma 1216
Dedifferentiated Chordoma 1216
19 Metastatic Tumors in Bone 1217
Chapter Outline 1217
Biology of Metastases 1217
General Features of Skeletal Metastases 1220
Skeletal Metastases in Selected Common Neoplasms 1230
Carcinoma of the Lung 1230
Gastrointestinal Carcinoma 1230
Carcinoma of the Breast 1230
Tumors with a Unique Propensity for Skeletal Metastases 1237
Carcinoma of the Prostate 1237
Carcinoma of the Kidney 1237
Carcinoma of the Thyroid 1239
Carcinoma of the Pancreas 1239
Metastatic Melanoma 1244
Skeletal Metastases in Selected Pediatric Tumors 1244
Rhabdomyosarcoma 1244
Neuroblastoma 1250
Clear Cell Sarcoma of the Kidney 1250
References 1255
Biology of Metastases 1255
General Features of Skeletal Metastases 1255
Skeletal Metastases in Selected Common Neoplasms 1256
Tumors with a Unique Propensity for Skeletal Metastases 1256
Metastatic Melanoma 1257
Skeletal Metastases in Selected Pediatric Tumors 1257
20 Synovial Lesions 1259
Chapter Outline 1259
Synovial Chondromatosis 1259
Definition 1259
Incidence and Location 1259
Clinical Symptoms 1259
Radiographic Imaging 1259
Gross Findings 1264
Microscopic Findings 1264
Differential Diagnosis 1278
Treatment and Behavior 1278
Synovial Chondrosarcoma 1278
Pigmented Villonodular Synovitis 1286
Definition 1286
Incidence and Location 1286
Clinical Symptoms 1288
Radiographic Imaging 1288
Gross Findings 1288
Microscopic Findings 1291
Differential Diagnosis 1291
Treatment and Behavior 1303
Synovial Lipoma 1303
Synovial Hemangioma 1303
References 1313
Synovial Chondromatosis 1313
Synovial Chondrosarcoma 1313
Pigmented Villonodular Synovitis 1314
Synovial Lipoma 1315
Synovial Hemangioma 1315
21 Sclerosing Bone Lesions 1317
Chapter Outline 1317
Osteoma and Bone Island 1317
Ivory Exostosis 1317
Sinoorbital Osteoma 1321
Bone Island (Enostosis) 1321
Surface Osteoma of Long Bones 1321
Osteopoikilosis (Spotted Bone Disease) 1321
Osteopetrosis 1333
Melorheostosis 1339
References 1344
Osteoma and Bone Islands 1344
Ivory Exostosis 1344
Sino-orbital Osteoma 1344
Bone Island (Enostosis) 1344
Surface Osteoma of Long Bones 1345
Osteopoikolosis (Spotted Bone Disease) 1345
Osteopetrosis 1345
Melorheostosis 1345
22 Tumor-Induced Osteomalacia and Rickets 1346
Tumor-Induced Osteomalacia 1346
Clinical Data 1346
Radiographic Imaging 1346
Pathologic Findings 1346
Treatment and Behavior 1347
Pathogenesis 1349
References 1354
23 Reactive and Metabolic Conditions Simulating Neoplasms of Bone 1357
Chapter Outline 1357
Myositis Ossificans 1357
Definition 1357
Incidence and Location 1357
Radiographic Imaging 1359
Gross Findings 1359
Microscopic Findings 1359
Differential Diagnosis 1363
Treatment and Behavior 1377
Myositis Ossificans Progressiva 1377
Definition 1377
Clinical Symptoms 1377
Radiographic Imaging 1377
Microscopic Findings 1377
Differential Diagnosis 1380
Treatment and Behavior 1380
Reactive Lesions of the Bone Surface 1380
Florid Reactive Periostitis 1380
Bizarre Parosteal Osteochondromatous Proliferation (Nora’s Lesion) 1384
Acquired Osteochondroma (Turret Exostosis) 1384
Subungual (Dupuytren’s) Exostosis 1384
Exuberant Fracture Callus 1388
Avulsion and Stress Injuries 1402
Avulsion Injuries 1402
Cortical Irregularity Syndrome (Periosteal Desmoid) 1403
Stress Fractures 1403
Pubic Osteolysis 1403
Tumoral Calcinosis 1409
Definition 1409
Incidence and Location 1409
Clinical Symptoms 1409
Radiographic Imaging 1409
Gross Findings 1409
Microscopic Findings 1409
Differential Diagnosis 1412
Treatment and Behavior 1412
Tophaceous Pseudogout 1412
Definition 1412
Clinical Data 1414
Radiographic Imaging 1414
Gross Findings 1414
Microscopic Findings 1415
Differential Diagnosis 1415
Treatment and Behavior 1415
Tophaceous Gout 1420
Clinical Data 1420
Radiographic Imaging 1420
Gross Findings 1420
Microscopic Findings 1421
Chronic Recurrent Multifocal Osteomyelitis 1421
Amyloidosis of Bone 1422
References 1431
Myositis Ossificans 1431
Myositis Ossificans Progressiva 1431
Reactive Lesions of the Bone Surface 1432
Exuberant Fracture Callus 1433
Avulsion and Stress Injuries 1433
Pubic Osteolysis 1433
Tumoral Calcinosis 1434
Tophaceous Pseudogout 1435
Tophaceous Gout 1435
Chronic Recurrent Multifocal Osteomyelitis 1435
Amyloidosis of Bone 1435
24 Precancerous Conditions 1437
Chapter Outline 1437
Paget’s Disease of Bone 1437
Definition 1437
Incidence and Location 1438
Clinical Symptoms 1438
Radiographic Imaging 1440
Microscopic Findings 1440
Malignant Transformation 1440
Osteomyelitis 1450
Bone Infarcts 1462
Definition 1462
Clinical Findings 1462
Radiographic Imaging 1462
Gross Findings 1469
Microscopic Findings 1469
Treatment and Behavior 1469
Personal Comments 1469
Metallic Implants 1472
Radiation Injury 1472
Osteogenesis Imperfecta 1472
Syndromes Predisposing to Malignancy in Bone 1474
Rothmund-Thomson Syndrome 1474
Li-Fraumeni Syndrome 1474
References 1480
Paget’s Disease of Bone 1480
Osteomyelitis 1481
Bone Infarcts 1481
Metallic Implants 1481
Radiation Injury 1482
Osteogenesis Imperfecta 1482
Syndromes Predisposing to Malignancy in Bone 1482
Index 1485
A 1485
B 1486
C 1487
D 1490
E 1490
F 1492
G 1493
H 1494
I 1495
J 1496
K 1496
L 1497
M 1497
N 1499
O 1500
P 1501
Q 1503
R 1503
S 1504
T 1505
U 1506
V 1506
W 1506
X 1506
Z 1506
Clinical Key ad IBC1