Osteosarcoma: Subtle, rare, and misleading plain film features

Z. S. Rosenberg, S. Lev, Sandra Schmahmann, G. C. Steiner, J. Beltran, D. Present

Research output: Contribution to journalArticle

38 Citations (Scopus)

Abstract

Osteosarcoma is a malignant, mesenchymal, osteoid, and bone-forming tumor [1-3]. In most cases, typical radiographic features clearly illustrate the aggressive bone-forming nature of the lesion. These features include long- bone metaphyseal location, mixed areas of lysis and sclerosis, cortical destruction, periosteal new bone, and soft-tissue mass. However, numerous factors contribute to misleading radiographic patterns of osteosarcoma. They include histologic low-grade, lytic, or minimally sclerotic lesions, early detection, confinement to the intramedullary canal, benign-appearing periosteal reaction, rare intraosseous locations (subchondral, diaphyseal, intracortical), and rare skeletal sites (e.g., soft tissues, skull, ribs, tarsal bones). Secondary osteosarcomas such as those arising from infarcts or fibrous dysplasia, may also produce a confusing radiologic picture. The purpose of this pictorial essay is to illustrate cases of osteosarcoma that proved to be difficult diagnostic dilemmas because of their subtle, rare, or misleading plain film features.

Original languageEnglish (US)
Pages (from-to)1209-1214
Number of pages6
JournalAmerican Journal of Roentgenology
Volume165
Issue number5
StatePublished - 1995
Externally publishedYes

Fingerprint

Osteosarcoma
Motion Pictures
Bone and Bones
Tarsal Bones
Sclerosis
Ribs
Skull
Neoplasms

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

Rosenberg, Z. S., Lev, S., Schmahmann, S., Steiner, G. C., Beltran, J., & Present, D. (1995). Osteosarcoma: Subtle, rare, and misleading plain film features. American Journal of Roentgenology, 165(5), 1209-1214.

Osteosarcoma : Subtle, rare, and misleading plain film features. / Rosenberg, Z. S.; Lev, S.; Schmahmann, Sandra; Steiner, G. C.; Beltran, J.; Present, D.

In: American Journal of Roentgenology, Vol. 165, No. 5, 1995, p. 1209-1214.

Research output: Contribution to journalArticle

Rosenberg, ZS, Lev, S, Schmahmann, S, Steiner, GC, Beltran, J & Present, D 1995, 'Osteosarcoma: Subtle, rare, and misleading plain film features', American Journal of Roentgenology, vol. 165, no. 5, pp. 1209-1214.
Rosenberg ZS, Lev S, Schmahmann S, Steiner GC, Beltran J, Present D. Osteosarcoma: Subtle, rare, and misleading plain film features. American Journal of Roentgenology. 1995;165(5):1209-1214.
Rosenberg, Z. S. ; Lev, S. ; Schmahmann, Sandra ; Steiner, G. C. ; Beltran, J. ; Present, D. / Osteosarcoma : Subtle, rare, and misleading plain film features. In: American Journal of Roentgenology. 1995 ; Vol. 165, No. 5. pp. 1209-1214.
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