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Synchronous multifocal osteogenic sarcoma on multimodality imaging including bone scintigraphy.

Gupta MM, Bahri NU, Parekh HP, Watal P, Chudasama SL - Indian J Nucl Med (2014)

Bottom Line: Multifocal osteosarcoma is diagnosed when there are two or more lesions in the skeleton without presence of pulmonary metastases.It is further classified as synchronous type when the patient is demonstrated to have more than one lesion simultaneously at presentation and is known as Synchronous Multifocal Osteogenicsarcoma (MOGS).We report a case of synchronous MOGS showing its multimodality imaging findings including nuclear scan findings with pathological correlation.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiodiagnosis, Meghrajji Pethrajji. Shah Govt. Medical College and Guru Govind Singh Government Hospital, Jamnagar, Gujarat, India.

ABSTRACT
Multifocal osteosarcoma is diagnosed when there are two or more lesions in the skeleton without presence of pulmonary metastases. It is further classified as synchronous type when the patient is demonstrated to have more than one lesion simultaneously at presentation and is known as Synchronous Multifocal Osteogenicsarcoma (MOGS). We report a case of synchronous MOGS showing its multimodality imaging findings including nuclear scan findings with pathological correlation.

No MeSH data available.


Related in: MedlinePlus

A 15-year-old child with synchronous MOGS, (a and b) AP radiograph of the bilateral knee showed multiple osteosclerotic lesions involving the metaphysis of distal femur and proximal tibia (arrows). (c) AP radiograph of right shoulder showed extensive osteosclerosis involving upper half of humerus, including the epiphysis with solid periosteal reaction on either side of the lesion. (d) AP view of pelvis with both hip showed an osteosclerotic lesion in proximal part of right femur (black arrow). MOGS = Multifocal osteogenicsarcoma, AP = Anteroposterior
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Figure 1: A 15-year-old child with synchronous MOGS, (a and b) AP radiograph of the bilateral knee showed multiple osteosclerotic lesions involving the metaphysis of distal femur and proximal tibia (arrows). (c) AP radiograph of right shoulder showed extensive osteosclerosis involving upper half of humerus, including the epiphysis with solid periosteal reaction on either side of the lesion. (d) AP view of pelvis with both hip showed an osteosclerotic lesion in proximal part of right femur (black arrow). MOGS = Multifocal osteogenicsarcoma, AP = Anteroposterior

Mentions: Patient was referred to our department for further imaging evaluation. Anteroposterior (AP) radiograph of the right shoulder showed a diffuse homogenous radiodense lesion with wide zone of transition involving nearly entire upper half of shaft of humerus including the epiphysis and diaphysis. Solid periosteal reaction was noted on either side of proximal part of the lesion [Figure 1a, b and c]. AP radiograph of the bilateral knee revealed multiple well-defined osteosclerotic lesions of varying sizes involving the metaphysis of distal femur and proximal tibia [Figure 1a and b]. An osteosclerotic lesion is also noted in proximal part of right femur in AP radiograph of pelvis with both hips [Figure 1d]. Chest X-ray was unremarkable. A provisional diagnosis of osteosarcoma with systemic metastases was made.


Synchronous multifocal osteogenic sarcoma on multimodality imaging including bone scintigraphy.

Gupta MM, Bahri NU, Parekh HP, Watal P, Chudasama SL - Indian J Nucl Med (2014)

A 15-year-old child with synchronous MOGS, (a and b) AP radiograph of the bilateral knee showed multiple osteosclerotic lesions involving the metaphysis of distal femur and proximal tibia (arrows). (c) AP radiograph of right shoulder showed extensive osteosclerosis involving upper half of humerus, including the epiphysis with solid periosteal reaction on either side of the lesion. (d) AP view of pelvis with both hip showed an osteosclerotic lesion in proximal part of right femur (black arrow). MOGS = Multifocal osteogenicsarcoma, AP = Anteroposterior
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4157199&req=5

Figure 1: A 15-year-old child with synchronous MOGS, (a and b) AP radiograph of the bilateral knee showed multiple osteosclerotic lesions involving the metaphysis of distal femur and proximal tibia (arrows). (c) AP radiograph of right shoulder showed extensive osteosclerosis involving upper half of humerus, including the epiphysis with solid periosteal reaction on either side of the lesion. (d) AP view of pelvis with both hip showed an osteosclerotic lesion in proximal part of right femur (black arrow). MOGS = Multifocal osteogenicsarcoma, AP = Anteroposterior
Mentions: Patient was referred to our department for further imaging evaluation. Anteroposterior (AP) radiograph of the right shoulder showed a diffuse homogenous radiodense lesion with wide zone of transition involving nearly entire upper half of shaft of humerus including the epiphysis and diaphysis. Solid periosteal reaction was noted on either side of proximal part of the lesion [Figure 1a, b and c]. AP radiograph of the bilateral knee revealed multiple well-defined osteosclerotic lesions of varying sizes involving the metaphysis of distal femur and proximal tibia [Figure 1a and b]. An osteosclerotic lesion is also noted in proximal part of right femur in AP radiograph of pelvis with both hips [Figure 1d]. Chest X-ray was unremarkable. A provisional diagnosis of osteosarcoma with systemic metastases was made.

Bottom Line: Multifocal osteosarcoma is diagnosed when there are two or more lesions in the skeleton without presence of pulmonary metastases.It is further classified as synchronous type when the patient is demonstrated to have more than one lesion simultaneously at presentation and is known as Synchronous Multifocal Osteogenicsarcoma (MOGS).We report a case of synchronous MOGS showing its multimodality imaging findings including nuclear scan findings with pathological correlation.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiodiagnosis, Meghrajji Pethrajji. Shah Govt. Medical College and Guru Govind Singh Government Hospital, Jamnagar, Gujarat, India.

ABSTRACT
Multifocal osteosarcoma is diagnosed when there are two or more lesions in the skeleton without presence of pulmonary metastases. It is further classified as synchronous type when the patient is demonstrated to have more than one lesion simultaneously at presentation and is known as Synchronous Multifocal Osteogenicsarcoma (MOGS). We report a case of synchronous MOGS showing its multimodality imaging findings including nuclear scan findings with pathological correlation.

No MeSH data available.


Related in: MedlinePlus