BY : PROF.

ABDUL-RAOUF YASSIN

Introduction
Bone tumors are classified into : 1.

Secondary : osteolytic osteoblastic

2. primary: malignant benign

Osteoblastic lesion
Multiple osteoblastic metastases to the pelvis and lumbar vertebral bodies from carcinoma of the prostate Note discrete rounded sclerotic lesions in right ilium and "ivory vertebra" involving L4 and S1.

Osteolytic lesions
Osteolytic metastasis from carcinoma of the broncus . Note the progression spread of osteolytic lesion in the lower end of the radious the interval between these examinations was only 6 months

Presumed to arise from Benign skeletal connective t. Tumors forming bone Osteoma : exostosis Osteoid osteoma Benign osteoblastoma Enchondroma Benign chondroblastoma Chondromyxoid fibroma Cartilage-capped exostosis: osteochondroma solitory or muliple Non-ossifying fibroma : fibrous cortical defect metaphyseal fibrous defect Desmoplastic fibroma Fibrous dysplasia : probably not neoplastic discribed with conginital dysplasias -----------------------

malignant Osteosarcoma Parosteal osteosarcoma

Tumors forming cartilage

Chondrosarcoma

Tumors forming fibrous tissue

Fibrosarcoma

Tumors forming osteoclastic tissue

Giant-cell tumors : Osteoclastoma

Benign tumors forming bone

Osteoid osteoma
arising in the cortex of the radius with extensive reactive bone formation . The oval area of translucency containing the dense central nidus is visible only in the antro-posterior view

Osteo sarcoma

Tibial osteosarcoma
showing many of the features of the disease . The proximal area of the lesion is densely sclerosed but not expanded . Destructive change is visible in the more distal part of the medulla with overlying sunray spiculation

Radiograph of the femur in a patient with osteosarcoma shows a typical Codman triangle (arrow) and more diffuse, mineralized osteoid within the soft tissues adjacent to the bone.

Tumors forming cartilage

Enchondroma
Enchondroma of phalanx . Female aged 10 y . The lesion has expanded to the cortex and is well demarcated . The pathological fracture led to its discovery .

Enchodroma
Enchondroma of fibula . The diffuse area of rarefaction in the head of this fibula has thinned and expanded the cortex and showes the typical punctate calcification of a chondroma . Radiologically this lesion appears benign

Cartilage capped exostosis (osteochondroma)

Female aged 24 . This penduculated exostosis was benign and painless at the time of original examination , but 3 months before the examination on 1960, pain and swelling had developed . Irregularity of the margin then suggested sarcomatous change .

Cenral chondro sarcoma

The destructive lesion at the femoral shaft has smooth clear defined margins, but in the upper portion , some characteristic punctuate calcification is visible . This tumor this clearly of a very slow growing type since organized periosteal reaction has thickened the cortex around the lesion

Chondro sarcoma of os calcanous

Male aged 62 .low grade pain and swelling had been presented for 2 years this destructive lesion again shows characteristic punctuate calcification and hazy definition of the endosteal margins of the tumor .

Tumors forming fibrous tissue Non-ossifying fibroma

Female aged 17 . These lesions are sometimes a site of pathological fracture as shown here . They are characteristically eccentric , causing slight expansion and thinning of the cortex and show a clear-cut ,sclerosed endosteal margin .

Periosteal fibrosarcoma

Female aged 32. in the upper end of the thigh showing whorls and plaques of calcification..

Tumors of

unknown origin
Ewing

sarcoma
Arrow : Lytic lesion Arrowhead: "Onion

peel" appearance of periosteal reaction. Layers of periosteum