Imaging Review of Skeletal Tumors of the Pelvis Malignant Tumors and Tumor Mimics

Malignant lesions of the pelvis are not uncommon and need to be differentiated from benign lesions and tumor mimics. Appearances are sometimes nonspecific leading to consideration of a broad differential diagnosis. Clinical history, anatomic location, and imaging characterization can help narrow the differential diagnosis. The focus of this paper is to demonstrate the imaging features and the role of plain films, computed tomography, and magnetic resonance imaging for detecting and characterizing malignant osseous pelvic lesions and their common mimics.

[1]  M. Hochman,et al.  Bone and soft-tissue lesions: what factors affect diagnostic yield of image-guided core-needle biopsy? , 2008, Radiology.

[2]  H. Kauczor,et al.  Multiple myeloma and monoclonal gammopathy of undetermined significance: importance of whole-body versus spinal MR imaging. , 2009, Radiology.

[3]  M. Murphey,et al.  Imaging features of primary lymphoma of bone. , 1999, AJR. American journal of roentgenology.

[4]  Patrick T. Liu,et al.  Anatomically based guidelines for core needle biopsy of bone tumors: implications for limb-sparing surgery. , 2007, Radiographics : a review publication of the Radiological Society of North America, Inc.

[5]  J. W. van der Eijken,et al.  [Insufficiency fractures of the sacrum]. , 1999, Nederlands tijdschrift voor geneeskunde.

[6]  B. Wolffenbuttel,et al.  Detection of bone metastases in thyroid cancer patients: Bone scintigraphy or 18F-FDG PET? , 2007, Nuclear medicine communications.

[7]  J. Mirra,et al.  Benign and malignant cartilage tumors of bone and joint: their anatomic and theoretical basis with an emphasis on radiology, pathology and clinical biology. I. The intramedullary cartilage tumors. , 1997, Skeletal radiology.

[8]  R. Arkless.  RENAL CARCINOMA: HOW IT METASTASIZES. , 1965, Radiology.

[9]  J. Mirra,et al.  Benign and malignant cartilage tumors of bone and joint: their anatomic and theoretical basis with an emphasis on radiology, pathology and clinical biology , 1997, Skeletal Radiology.

[10]  P. Hasler,et al.  Insufficiency fractures of the sacrum. Twenty cases and review of the literature. , 1993, Spine.

[11]  R H Gold,et al.  Bacterial osteomyelitis: findings on plain radiography, CT, MR, and scintigraphy. , 1991, AJR. American journal of roentgenology.

[12]  R. Steen,et al.  Fat‐saturated contrast‐enhanced T1‐weighted MRI in evaluation of osteosarcoma and ewing sarcoma , 1997, Journal of magnetic resonance imaging : JMRI.

[13]  J. Edeiken,et al.  New bone production and periosteal reaction. , 1966, The American journal of roentgenology, radium therapy, and nuclear medicine.

[14]  H. Libshitz,et al.  Post-radiation sarcomas: a review of the clinical and imaging features in 63 cases. , 2001, Clinical radiology.

[15]  Mark Soo.  Chordoma: Review of Clinicoradiological Features and Factors Affecting Survival , 2001, Australasian radiology.

[16]  B. Ghelman,et al.  Unsuspected sacral fractures: detection by radionuclide bone scanning. , 1985, AJR. American journal of roentgenology.

[17]  H. Steinbach.  Roentgen Diagnosis of Diseases of Bone , 1967 .

[18]  D. B. Price,et al.  The sacrum: pathologic spectrum, multimodality imaging, and subspecialty approach. , 2001, Radiographics : a review publication of the Radiological Society of North America, Inc.

[19]  A. Greenspan,et al.  Bone island (enostosis): current concept — a review , 1995, Skeletal Radiology.

[20]  J. Madewell,et al.  Radiologic and pathologic analysis of solitary bone lesions. Part II: periosteal reactions. , 1981, Radiologic clinics of North America.

[21]  D J Flemming,et al.  From the archives of the AFIP. Primary tumors of the spine: radiologic pathologic correlation. , 1996, Radiographics : a review publication of the Radiological Society of North America, Inc.

[22]  G. Lonergan,et al.  From the Archives of the AFIP , 2002 .

[23]  I. Portek,et al.  Sacral insufficiency fractures in the elderly. , 1994, The Journal of bone and joint surgery. British volume.

[24]  P. Tsay,et al.  Factors affecting diagnostic accuracy of CT-guided coaxial cutting needle lung biopsy: retrospective analysis of 631 procedures. , 2003, Journal of vascular and interventional radiology : JVIR.

[25]  J. Lam,et al.  Staging of Renal Cell Carcinoma , 2008 .

[26]  M. Sundaram,et al.  Solid variant of aneurysmal bone cysts in long tubular bones: giant cell reparative granuloma. , 2003, AJR. American journal of roentgenology.

[27]  M. Namiki,et al.  Solitary late recurrence of renal cell carcinoma. , 1986, The Journal of urology.

[28]  A. Levy,et al.  From the archives of the AFIP. Benign tumors and tumorlike lesions of the gallbladder and extrahepatic bile ducts: radiologic-pathologic correlation. Armed Forces Institute of Pathology. , 2002, Radiographics : a review publication of the Radiological Society of North America, Inc.

[29]  Aaas News,et al.  Book Reviews , 1893, Buffalo Medical and Surgical Journal.

[30]  A. Cohn.  Bone tumors. , 1978, Orthopedics.

[31]  M. Karno,et al.  Renal cell carcinoma. , 1956, Bulletin. Tufts-New England Medical Center.

[32]  J. Madewell,et al.  Radiologic and pathologic analysis of solitary bone lesions. Part I: internal margins. , 1981, Radiologic clinics of North America.

[33]  D. Disler,et al.  Imaging findings in tumors of the sacrum. , 1999, AJR. American journal of roentgenology.

[34]  L. Gilula,et al.  Imaging of pelvic insufficiency fractures. , 1996, Radiographics : a review publication of the Radiological Society of North America, Inc.

[35]  P. O'Donnell,et al.  The prevalence and diagnostic significance of fluid-fluid levels in focal lesions of bone , 2004, Skeletal Radiology.

[36]  K. Ryu,et al.  Hemophilic pseudotumor involving the musculoskeletal system: spectrum of radiologic findings. , 2004, AJR. American journal of roentgenology.

[37]  Z. Rosenberg,et al.  Osteosarcoma: subtle, rare, and misleading plain film features. , 1995, AJR. American journal of roentgenology.

[38]  L. White,et al.  MR imaging of primary lymphoma of bone: variability of T2-weighted signal intensity. , 1998, AJR. American journal of roentgenology.

[39]  C. Golimbu,et al.  Radiation induced fractures of sacrum: CT diagnosis. , 1988, Journal of computer assisted tomography.

[40]  S. Bagué,et al.  Primary tumors of the sacrum: diagnostic imaging. , 2000, AJR. American journal of roentgenology.

[41]  J. Healey,et al.  Chordoma: a critical review of diagnosis and treatment. , 1989, The Orthopedic clinics of North America.

[42]  U. Mueller-Lisse,et al.  Imaging of advanced renal cell carcinoma , 2010, World Journal of Urology.