Lace-like enhancement pattern of osteosarcoma of rib and liver metastasis in CT scans

SUMMARY The rib is an uncommon site of osteosarcoma. With the use of adjuvant chemotherapy and aggressive surgical resection of the metastatic pulmonary lesions, extrapulmonary metastases are becoming more clinically evident. Primary rib osteosarcoma with extrapulmonary metastasis is exceedingly rar...

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Veröffentlicht in:Australasian radiology 2001-08, Vol.45 (3), p.305-308
Hauptverfasser: Chan, Helen HL, Chan, John KF, Ng, Wai-Man, Shek, Tony WH, Chan, Fu-Luk
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container_end_page 308
container_issue 3
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container_title Australasian radiology
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creator Chan, Helen HL
Chan, John KF
Ng, Wai-Man
Shek, Tony WH
Chan, Fu-Luk
description SUMMARY The rib is an uncommon site of osteosarcoma. With the use of adjuvant chemotherapy and aggressive surgical resection of the metastatic pulmonary lesions, extrapulmonary metastases are becoming more clinically evident. Primary rib osteosarcoma with extrapulmonary metastasis is exceedingly rare. A case is reported, showing that the pattern of metastasis of rib osteosarcoma is similar to that of primary bone osteosarcoma. The liver metastasis occurred after resection of the metastatic pulmonary lesions. A CT scan of the primary rib lesion and liver metastasis both showed a lace‐like enhancement pattern, its histological appearance corresponding with neoplastic osteoid. With the increasing use of CT abdomen for localization of extrapulmonary metastases, lace‐like enhancement may be seen more readily in the future.
doi_str_mv 10.1046/j.1440-1673.2001.00925.x
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With the use of adjuvant chemotherapy and aggressive surgical resection of the metastatic pulmonary lesions, extrapulmonary metastases are becoming more clinically evident. Primary rib osteosarcoma with extrapulmonary metastasis is exceedingly rare. A case is reported, showing that the pattern of metastasis of rib osteosarcoma is similar to that of primary bone osteosarcoma. The liver metastasis occurred after resection of the metastatic pulmonary lesions. A CT scan of the primary rib lesion and liver metastasis both showed a lace‐like enhancement pattern, its histological appearance corresponding with neoplastic osteoid. 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With the use of adjuvant chemotherapy and aggressive surgical resection of the metastatic pulmonary lesions, extrapulmonary metastases are becoming more clinically evident. Primary rib osteosarcoma with extrapulmonary metastasis is exceedingly rare. A case is reported, showing that the pattern of metastasis of rib osteosarcoma is similar to that of primary bone osteosarcoma. The liver metastasis occurred after resection of the metastatic pulmonary lesions. A CT scan of the primary rib lesion and liver metastasis both showed a lace‐like enhancement pattern, its histological appearance corresponding with neoplastic osteoid. 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With the use of adjuvant chemotherapy and aggressive surgical resection of the metastatic pulmonary lesions, extrapulmonary metastases are becoming more clinically evident. Primary rib osteosarcoma with extrapulmonary metastasis is exceedingly rare. A case is reported, showing that the pattern of metastasis of rib osteosarcoma is similar to that of primary bone osteosarcoma. The liver metastasis occurred after resection of the metastatic pulmonary lesions. A CT scan of the primary rib lesion and liver metastasis both showed a lace‐like enhancement pattern, its histological appearance corresponding with neoplastic osteoid. With the increasing use of CT abdomen for localization of extrapulmonary metastases, lace‐like enhancement may be seen more readily in the future.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Science Pty</pub><pmid>11531753</pmid><doi>10.1046/j.1440-1673.2001.00925.x</doi><tpages>4</tpages></addata></record>
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subjects Adult
Bone Neoplasms - diagnostic imaging
Bone Neoplasms - pathology
CT scan
Female
Humans
liver
Liver Neoplasms - diagnostic imaging
Liver Neoplasms - secondary
Lung Neoplasms - diagnostic imaging
Lung Neoplasms - secondary
metastasis
osteosarcoma
Osteosarcoma - diagnostic imaging
Osteosarcoma - secondary
Ribs - diagnostic imaging
Ribs - pathology
Tomography, X-Ray Computed - methods
title Lace-like enhancement pattern of osteosarcoma of rib and liver metastasis in CT scans
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