KONDROSARKOMA

Gambar 1. Radiografi frontal dari caput fibula sinistra menunjukkan lesi luscent yang mengandung kalsifikasi matrix chondroid tipikal. Tumor low grade

Gambar 2. Radiografi frontal dari acetabulum kiri menunjukkan lesi luscent expansil tanpa kalsifikasi matriks internal. Tumor low grade sentral

Gambar 3. CT scan Bone-window dari acetabulum sinistra menunjukkan kalsifikasi matriks pada lesi luscent ekspansil di kolum anterior. Tumor low-grade sentral.

Gambar 4. Gambaran dari daerah metafisis. Kalsifikasi soft tissue pada osteochondroma. Tumor perifer sekunder high-grade.

Gambar 5. CT scan pelvis menunjukkan massa soft tissue besar yang mengandung kalsifikasi berasal dari broad-based sessile osteochondroma pada aspek posterior ilium. Tumor perifer sekunder high-grade.

OSTEOSARKOMA

Osteosarcoma. 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.

Osteosarcoma. Lateral radiograph of the distal femur in a child with osteosarcoma involving the metaphysis and metadiaphysis. Note the abnormal texture and mild sclerosis of the distal femoral shaft, the aggressive periosteal changes including Codman triangles (white arrow) and the large soft-tissue mass (black arrow).

Osteosarcoma. Sagittal T1-weighted MRI in the same patient as in Image 2. The signal intensity of the bone marrow within the distal femoral epiphysis is normal, but abnormal signal intensity is present throughout the visible shaft. The growth plate has limited extension of the tumor. Cortical destruction (arrow) and the softtissue mass can be readily appreciated. Note that the fat deep to the quadriceps tendon has rather heterogenous signal intensity.

Osteosarcoma. Anteroposterior (AP) radiograph of the proximal tibia in a child with osteosarcoma involving the metaphysis. The tumor is densely sclerotic, but an area of lucency and cortical destruction is shown proximally on its lateral margin. Scalloping of the cortex is observed inferior to this area, with amorphous mineralized osteoid shown in the soft tissues (arrow). Note that the tumor appears to be superiorly confined by the growth plate.

Osteosarcoma. Lateral radiograph of the calcaneum in an adult with osteosarcoma shows a predominantly lucent lesion in the anteroinferior part of the bone and cortical destruction.

Osteosarcoma. Anteroposterior (AP) radiograph in a patient with osteosarcoma of the proximal humerus. Note the extensive soft-tissue mas containing a considerable amount of mineralized osteoid.

Osteosarcoma. Anteroposterior (AP) radiograph of the shoulder in a patient with osteosarcoma of the scapula. Note the extensive cortical destruction, aggressive periosteal changes, and soft tissue ossification of the acromion and upper scapula

Osteosarcoma. Lateral radiograph of the distal femur in an adult patient with osteosarcoma appearing as a pathologic fracture

Picture 1. Ewing sarcoma of the os naviculare, a rare location for the tumor: A significant periosteal reaction is depicted.

Picture 4. Radiograph of an 11-year-old boy with a large Ewing sarcoma in the right pelvic area: Destruction of the bone structure results from tumor involvement

Picture 5. MRIs of the 11-year-old boy in Image 4: The tumor in the right iliac bone has they typical hyperintense appearance and extends to the hip. Significant involvement of soft-tissue structures is depicted