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Juxtacortical Osteosarcoma
Juxtacortical Osteogenic Sarcoma

Presentation

Typically, no medullary involvement is present. Axial T2-weighted MRI of a periosteal chondrosarcoma demonstrating the lobular nature of the tumor. Erosion into the underlying cortex is present, but the medullary canal remains uninvolved. [emedicine.medscape.com]

Thirty-eight patients presented with previously untreated, predominantly low-grade juxtacortical osteosarcoma. There were 12 (32%) men and 26 (68%) women with a mean age of 28.9 years. [miami.pure.elsevier.com]

It typically presents in early adulthood and middle age with a peak incidence in the third decade. It affects females slightly more than males 2,3. [radiopaedia.org]

Pain in the affected site was the second most frequent clinical finding, present in 16 (69.6%) patients; five of these latest presented only pain. [scielo.br]

Clinical Presentation Signs/Symptoms: Painless slowly enlarging firm immobile mass in an extremity (most commonly posterior distal thigh/popliteal fossa behind the knee) Mass may be present for several years (usually for more than a year and some patients [tumor-surgery.org.stage.maddevelopment.com]

Musculoskeletal

  • Bone Pain

    Patients usually present with bone pain, occasionally accompanied by a soft-tissue mass or swelling. At times, the first symptoms are related to pathologic fracture. [radiologykey.com]

    […] with nerve involvement or pelvic obstruction Cervico occipital region ® head aches, pain and visual problems Sacrococcygeal 70% ® pain and paraesthesia X-Rays Large osteolytic lesion in the midline May contain flecks of calcification Marked bone destruction [flinders.edu.au]

  • Knee Pain

    Because of the location in the popliteal fossa, the patient may note inability to flex the knee. Pain is the second most important symptom, and patients may present with pain without having noted a lump. [musculoskeletalkey.com]

  • Bone Disorder

    Second most common bone disorder after osteoporosis. 70-90% of persons with Paget disease are asymptomatic. Study the images and then continue reading. [radiologyassistant.nl]

  • Osteopenia

    Generalised osteopenia, scleorsis of phalangeal tufts, focal/generalised sclerosis. MRI shows bone marrow granulomas with high T2, intermediate T1, enhancement (DDx mets). [radnotes.co.nz]

Workup

[…] describing patients treated with less than wide margins include only few lesions in this location, indicating the difficulty of making the diagnosis on radiographs when the lesion involves a different bone. [27] MRI should be performed as part of the initial workup [emedicine.medscape.com]

Bone lesion workup – If it appears non-aggressive on XR then no further workup required. If appears aggressive, then bone scan (?polyostotic), chest CT (?mets), MRI and biopsy. [radnotes.co.nz]

A diagnosis of parosteal osteosarcoma (POS) at the femoral diaphysis was made following a diagnostic workup. Previous reports of long bone diaphyseal POS are rare. [spandidos-publications.com]

Treatment

It is important to plan a surgical treatment that allows an adequate functional reconstruction, always taking into account the oncological principle. Palabras llave : Dedifferentiated parosteal osteosarcoma; intercalary resection. [scielo.org.mx]

However, the chondrocytes also may demonstrate some atypia. [15] Treatment consists of wide surgical resection; some recommend chemotherapy as well. [40] The Mayo Clinic series reported an 80% survival rate with surgical treatment. [emedicine.medscape.com]

Its main treatment is surgery and chemotherapy. (en) context (x): i_juxost.txt origination date: 04/06/2002 originator: Arianne [ugr.es]

Full-color photomicrographs help you identify pathologic elements and provide correct diagnoses and treatment plans. Boxes and tables offer clear, at-a-glance information on the clinical features, diagnosis, and treatment for many conditions. [books.google.com]

A case report. 61 Chen G...Dai M 30633158 2019 10 A rare rib lesion due to parosteal osteosarcoma: a case report. 61 Tozum H...Kilic B 30670083 2019 11 Osteosarcoma in patients below 25 years of age: An observational study of incidence, metastasis, treatment [malacards.org]

Prognosis

Osteosarcoma is a highly malignant tumour which despite modern surgery and chemotherapy still retains a relatively poor prognosis. This prognosis is, however, much better in the rare variant known as juxtacortical osteosarcoma. [ncbi.nlm.nih.gov]

Most patients are young adults and the prognosis is usually excellent. [ NCIT : P378 ] Synonyms: parosteal osteogenic sarcoma juxtacortical osteosarcoma juxtacortical osteogenic sarcoma parosteal osteosarcoma Tree view Term mappings This is just here [ebi.ac.uk]

Parosteal osteosarcomas have an excellent prognosis (80-95% long-term survival) 1. [radiopaedia.org]

Prognosis Generally good—80% 5-year survival; recurrence with dedifferentiation significantly worsens the prognosis. [medical-dictionary.thefreedictionary.com]

Early diagnosis is important because it is associated with the most favorable prognosis of all bone cancers. Its main treatment is surgery and chemotherapy. (en) context (x): i_juxost.txt origination date: 04/06/2002 originator: Arianne [ugr.es]

Etiology

 Definition Introduction and brief history Epidemiology Etiology Pathology Classification 2.  A mesenchymalmalignancy thatdifferentiates toproduce osteoid is anosteosarcoma nomatter how muchosteoid is produced OsteoidDeposition 3.  Malignant [slideshare.net]

[…] blood CF cerebrospinal fluid CI chemically induced CH chemistry CL classification CO complications CN congenital DI diagnosis DG diagnostic imaging DH diet therapy DT drug therapy EC economics EM embryology EN enzymology EP epidemiology EH ethnology ET etiology [decs.bvs.br]

The etiology is thought to be related to repetitive trauma, similar to tug lesions elsewhere in the body. It is, therefore, also called an avulsive cortical irregularity. [roentgenrayreader.blogspot.com]

Expanded sections on etiology, treatment, and diagnosis of oral cancer (HPV) describe how subtypes can play an important role in the development and natural history of some head and neck cancers, most notably those arising in the oropharynx. [books.google.com]

Pathogenesis Etiology is unknown. [oncohemakey.com]

Epidemiology

English: BS blood supply BL blood CF cerebrospinal fluid CI chemically induced CH chemistry CL classification CO complications CN congenital DI diagnosis DG diagnostic imaging DH diet therapy DT drug therapy EC economics EM embryology EN enzymology EP epidemiology [decs.bvs.br]

Epidemiology Most often found in adults undergoing testing for other reasons, although presumably develops at a younger age during skeletal maturation No gender predilection or inheritance pattern Distribution Found within cancellous bone Preference for [oncohemakey.com]

 Definition Introduction and brief history Epidemiology Etiology Pathology Classification 2.  A mesenchymalmalignancy thatdifferentiates toproduce osteoid is anosteosarcoma nomatter how muchosteoid is produced OsteoidDeposition 3.  Malignant [slideshare.net]

126 : pulmonary metastase of an osteosarcoma Case 115 : chondroblastic osteosarcoma of the calcaneum UI:323 - Osteosarcoma 1 (NOS) UI:856 - Osteosarcoma 2 (NOS) Images Male 17 y/o Osteosarcoma https://twitter.com/ga_torres/status/744913535063494656 Epidemiology [humpath.com]

Osteosarcoma incidence and survival rates from 1973 to 2004: data from the Surveillance, Epidemiology, and End Results Program. Cancer 2009;115(7):1531–1543. [pubs.rsna.org]

Pathophysiology

[…] familial polyposis coli) Osteomas Multiple cutaneous and subcutaneous skin lesions (sebaceous cysts, desmoids, Gardner fibromas) Epidemiology Estimated prevalence: 0.4% Male:female ratio: 2:1 Location: ethmoid and frontal sinuses of the cranium most common Pathophysiology [oncohemakey.com]

Prevention

Based on these data, close but negative margins may be adequate in achieving local disease control and preventing metastases in these patients. [miami.pure.elsevier.com]

[…] distal femur (thigh bone), in approximately 70% of the cases Parosteal Osteosarcoma presents as a mass with signs and symptoms that include pain and decreased joint movement The exact cause of the condition is unknown and presently, it is not possible to prevent [dovemed.com]

[…] diet therapy DT drug therapy EC economics EM embryology EN enzymology EP epidemiology EH ethnology ET etiology GE genetics HI history IM immunology ME metabolism MI microbiology MO mortality NU nursing PS parasitology PA pathology PP physiopathology PC prevention [decs.bvs.br]

Expanded section on bisphosphonate-related osteonecrosis of the jaws helps you effectively manage patients taking bisphosphonates to prevent bone loss, including information on oral complications, risk factors, and benefits. [books.google.com]

The higher success rate associated with such aggressive surgical resections could be due to two reasons: Wide excision of adjacent bone and periosteum prevents local recurrence by removing small satellite lesions and Overcomes the risk of local spread [amsjournal.com]

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