Bone Metastases (Subscribe)  

Sclerotic metastases are easily identified on the plain film, except when their density is interpreted as other overlying structures or pathology, perhaps osteoarthrosis. The microscopy of affected bone usually shows a proliferative bone reaction to the spread of tumour over the bone trabeculae. This results in the visible diffuse sclerosis...

sclerotic bone metastases. Notes, links and Images
* prostate
* bladder
* rectum
* breast (occ.)
* bronchus
* carcinoid tumors
* Hodgkin disease
* stomach

Radiology case 448-3321 Clinical presentation: 8 year old girl with a cerebellar tumour.
There are multiple foci of increased bone density in the bones of pelvis and proximal right femur. In the metapohysis of the right femur, there is a double outline to the cortex over dense medullary bone. Further down the...

Radiology case 331-3327 Clinical presentation: Mature adult female, previous abdominal surgery, now presents with back pain.
The view shows an area of dense sclerosis in the body of the second lumbar vertebra without enlargement of the vertebral body. The anterior cortical margin cannot be seen against the desnity, but its anterior edge...

Radiology cases 321-328. Clinical presentation: Acute onset of back pain and leg weakness in a 55 year old man.
The upper cuts, above the carina and aotic arch, in this computed tomography series show contrast in the theca ending at an obstructing soft-tissue mass in the canal. The relative lucency of the...

Spinal metastases are common in malignant tumors. On X rays one of the first signs is disappearance of the pedicle on the AP X-ray. This is known as the winking owl sign

Purpose. To review the surgical treatment for metastatic disease of the proximal femur. Methods. Records of 8 patients who underwent endoprosthetic replacement with tumour resection (group 1) and 8 others who underwent intramedullary nailing without tumour resection (group 2) were reviewed. Treatments were based on the disease progression and patient’s condition. Results. In groups 1 and 2, the...

Rare clinical experiences for surgical treatment of melanoma with osseous metastases in Taiwan Kuo-Yuan Huang , Chrong-Reen Wang and Rong-Sen Yang BMC Musculoskeletal Disorders 2007, 8:70 doi:10.1186/1471-2474-8-70 (Full Text) Conclusions Due to the high morbidity and poor survival of Taiwanese patients with osseous metastases of melanoma, surgical treatment...

BMJ 2006;332:1227-1228 (27 May), Editorial
Orthopaedic procedures can help terminally ill patients and are underused Wisam I Al-Hakim, clinical research fellow, bone tumour unit (wisam2410@hotmail.com), Royal National Orthopaedic Hospital, Stanmore, Middlesex HA7 4LP Jacub M Jagiello, clinical research fellow, bone tumour unit, Ken Mannan, specialist registrar, Tim W Briggs, consultant orthopaedic surgeon
Royal National Orthopaedic...

Full text of Review article in JBJS B 2001 83-B:471-81

- Osteosarcoma (common)
- Ewing's sarcoma: (common)
- chondrosarcoma
- Osteochondroma (Osteocartilaginous Exostosis)
- Fibrous Dysplasia
- Eosinophilic granuloma
- Aneurysmal bone cyst
- Prostatic Ca: - most of prostatic ca mets are blastic...