Metastatic Mixed Tumor Arising in Bone by Richard L. McGough, Li Juan Wang, Douglas R. Gnepp, and Richard M. Terek J Bone Joint Surg Am Volume 83(9):1396-1402.

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Presentation transcript:

Metastatic Mixed Tumor Arising in Bone by Richard L. McGough, Li Juan Wang, Douglas R. Gnepp, and Richard M. Terek J Bone Joint Surg Am Volume 83(9): September 1, 2001 ©2001 by The Journal of Bone and Joint Surgery, Inc.

Figs. 1-A through 1-D Initial imaging studies. Richard L. McGough et al. J Bone Joint Surg Am 2001;83: ©2001 by The Journal of Bone and Joint Surgery, Inc.

Computed tomographic scan demonstrating erosion of the anterior tibial cortex by a soft-tissue lesion with an intraosseous epicenter. Richard L. McGough et al. J Bone Joint Surg Am 2001;83: ©2001 by The Journal of Bone and Joint Surgery, Inc.

Bone scan demonstrating increased uptake in the proximal part of the tibia. Richard L. McGough et al. J Bone Joint Surg Am 2001;83: ©2001 by The Journal of Bone and Joint Surgery, Inc.

Immediate postoperative radiograph. Richard L. McGough et al. J Bone Joint Surg Am 2001;83: ©2001 by The Journal of Bone and Joint Surgery, Inc.

Figs. 2-A through 2-D Imaging studies made two years postoperatively. Richard L. McGough et al. J Bone Joint Surg Am 2001;83: ©2001 by The Journal of Bone and Joint Surgery, Inc.

Computed tomographic scan showing the lytic lesion anterior to the cement in the proximal part of the tibia. Richard L. McGough et al. J Bone Joint Surg Am 2001;83: ©2001 by The Journal of Bone and Joint Surgery, Inc.

Postoperative radiographs made after repeat curettage, cryosurgery, and insertion of cement. Richard L. McGough et al. J Bone Joint Surg Am 2001;83: ©2001 by The Journal of Bone and Joint Surgery, Inc.

Postoperative radiographs made after repeat curettage, cryosurgery, and insertion of cement. Richard L. McGough et al. J Bone Joint Surg Am 2001;83: ©2001 by The Journal of Bone and Joint Surgery, Inc.

Computed tomographic scan made four years after initial presentation, demonstrating pulmonary nodules with the same histopathologic characteristics as the primary tumor of the tibia. Richard L. McGough et al. J Bone Joint Surg Am 2001;83: ©2001 by The Journal of Bone and Joint Surgery, Inc.

Histopathologic characteristics of the original tibial tumor (A through E) and lung metastases (F). Richard L. McGough et al. J Bone Joint Surg Am 2001;83: ©2001 by The Journal of Bone and Joint Surgery, Inc.