Abstract
The radiologic studies of 24 patients with giant cell tumors were evaluated with respect to their ability to determine tumor extent and to influence management. Computed tomography (CT) was the most accurate method for detecting soft tissue tumor extension, and conventional tomography was the best technique for evaluating penetration of subarticular cortical bone. Detection of these findings led to performance of en bloc tumor resection rather than curettage and grafting in patients with lower extremity tumors. Arthrotomography was helpful in some instances in detecting cartilage and joint invasion by tumor, joint invasion being an indication for extra-articular rather than transarticular tumor resection. Scintigraphy was not as accurate as conventional tomography or CT in determining intraosseous tumor extent because of increased tracer, uptake beyond the true tumor limits in several cases. Angiography has been largely replaced by CT in evaluating giant cell tumors.
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Chew FS, Hudson TM (1982) Radionuclide bone scanning of osteosarcoma: Falsely extended uptake patterns. AJR 139:49
Dahlin DC (1978) Bone tumors: General aspects and data on 6,221 cases, 3rd edn. Charles C Thomas, Springfield, p 99
de Santos LA, Murray JA (1978) Evaluation of giant cell tumor by computerized tomography. Skeletal Radiol 2:205
De Smet AA, Neff JR (1982) Knee arthrography for the preoperative evaluation of juxta-articular masses. Radiology 143:663
Edeiken J (1981) Roentgen diagnosis of diseases of bone, 3rd edn. Williams and Wilkins, Baltimore, p 263
Enneking WF, Spanier SS, Goodman MA (1980) A system for the surgical staging of musculoskeletal sarcoma. Clin Orthop 153:106
Goldenberg RR, Campbell CJ, Bonfiglio M (1970) Giant cell tumor of bone. An analysis of two hundred, and eighteen cases. J Bone Joint Surg [Am] 52:619
Hudson TM, Enneking WF, Hawkins IF (1981), The value of angiography in planning surgical treatment of bone tumors. Radiology 138:283
Hudson TM, Schiebler M, Springfield DS, Hawkins IF, Enneking WF, Spanier SS (1983) Radiologic imaging of osteosarcoma: Role in planning surgical management. Skeletal Radiol 10:137
Jaffe HL, Lichtenstein L, Portis RB (1940) Giant cell tumor of bone: its pathologic appearance, grading, supposed variants and treatment. Arch Pathol 30:993
Johnson EW (1965) Adjacent and distant spread of giant cell tumors. Am J Surg 109:163
Karakousis CP, Park JJ, Fleminger R, Friedman M (1981) Chrodomas: Diagnosis and management. Am Surg 47:497
Larsson SE (1979) Removal of the third thoracic vertebra and partial lung resection for a radioresistant giant cell tumor of the spine. J Bone Joint Surg [Br] 61:489
Laurin S (1977) Angiography in giant cell tumors. Radiologe 17:118
Levine E, Lee KR, Neff JR, Maklad NF, Robinson RG, Preston DF (1979) Comparison of computed tomography and other imaging modalities in the evaluation of musculoskeletal tumors. Radiology 131:431
Lundstrom B, Lorentzon R, Larsson SE, Boquist L (1977) Angiography in giant-cell tumors of bone Acta Radiol [Diagn] (Stockh) 18:541
McInerney DP, Middlemiss JH (1978) Giant cell tumor of bone. Skeletal Radiol 2:195
Mnaymneh WA, Dudley HR, Mnaymneh LG (1964) Giant cell tumor of bone. An analysis and follow-up study of the forty-one cases observed at the Massachusetts General Hospital between 1925 and 1960. J Bone Joint Surg [Am] 46:63
Prando A, de Santos LA, Wallace S, Murray JA (1979) Angiography in giant-cell bone tumors. Radiology 130: 323
Resnick D (1974) Arthrography in the evaluation of arthritic disorders of the wrist. Radiology 113:331
Schwimer SR, Bassett LW, Mancuso AA, Mirra JM, Dawson EG (1981) Giant cell tumor of the cervicothoracic spine. AJR 136:63
Seradge H (1982) Distal ulnar translocation in the treatment of giant cell tumors of the distal end of the radius. J Bone Joint Surg [Am] 64:67
Simon MA, Kirchner PT (1980) Scintigraphic evaluation of primary bone tumors. J Bone Joint Surg [Am] 62:758
Smith GR, Winquist RA, Allan TNK, Northrop CH (1977) Subtle transchondral fractures of the talar dome: A radiological perspective. Radiology 124:667
Smith J, Wixon D, Watson RC (1979) Giant cell tumor of the sacrum. J Can Assoc Radiol 30:34
Soye I, Levine E, De Smet AA, Neff JR (1982) Computed tomography in the preoperative evaluation of masses arising in or near the joints of the extremities. Radiology 143:727
Thrall JH, Geslien GE, Corcoron RJ, Johnson MC (1975) Abnormal radionuclide deposition patterns adjacent to focal skeletal lesions. Radiology 115:659
Wilner D (1982) Radiology of bone tumors and allied disorders. Saunders, Philadelphia, p 783
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Levine, E., De Smet, A.A. & Neff, J.R. Role of radiologic imaging in management planning of giant cell tumor of bone. Skeletal Radiol 12, 79–89 (1984). https://doi.org/10.1007/BF00360811
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DOI: https://doi.org/10.1007/BF00360811