Metastatic Bone Disease: Foot

Jun 4, 2017 by in ORTHOPEDIC Comments Off on Metastatic Bone Disease: Foot

Fig. 26.1 Sixty-eight year-old female with history of endometrial carcinoma. Lateral radiograph of the right foot demonstrating and aggressive appearing lytic lesion involving the body of the calcaneus Fig. 26.2…

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Role of Surgery in Oligometastatic Disease

Jun 4, 2017 by in ORTHOPEDIC Comments Off on Role of Surgery in Oligometastatic Disease

Primary Patients Solitary (%) Solitary survival (months) Multiple survival (months) En Bloc resection (%) En Bloc survival (months) Other surg. survival (months) Breast 307 10.4 35a 12 3.9 17 13…

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Metastatic Bone Disease: Pelvis

Jun 4, 2017 by in ORTHOPEDIC Comments Off on Metastatic Bone Disease: Pelvis

Pelvic resection classification system Type I Ilium Type II Periacetabular Type III Pubis Type IV Ilium Resections including the femoral head H1 Femoral head H2 Peritrochanteric area H3 Subtrochanteric area…

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Intraoperative Imaging and Navigation

Jun 4, 2017 by in ORTHOPEDIC Comments Off on Intraoperative Imaging and Navigation

Fig. 30.1 (a–b) Axial T2 and coronal STIR magnetic resonance images of a large pelvic chondrosarcoma, displaying its difficult anatomic location that poses challenge to resection. Note the proximity to…

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Metastatic Bone Disease:Femur—Tibia

Jun 4, 2017 by in ORTHOPEDIC Comments Off on Metastatic Bone Disease:Femur—Tibia

Fig. 25.1 Fifty-four year-old male with metastatic non-small cell lung adenocarcinoma. MRI demonstrating focal area in posterolateral tibial plateau, with involvement of the tibial articular cartilage Fig. 25.2 Metastatic lesion…

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Metastatic Bone Disease: Femur

Jun 4, 2017 by in ORTHOPEDIC Comments Off on Metastatic Bone Disease: Femur

Fig. 24.1 (a, b) Sixty-one year-old woman with metastatic breast cancer who sustain a fracture after biopsy which was treated with cephallomedullary nail but failed to heal. She still had…

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Current and Emerging Modalities

Jun 4, 2017 by in ORTHOPEDIC Comments Off on Current and Emerging Modalities

General Asymptomatic Emergent Pain Paraspinal mass Spinal cord compression Bone erosion with softtissue mass component Large lytic lesion in weight-bearing bonea Cauda equine compression Cortical disruption  Radiculopathy   Metastases to orbital…

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Biology of Bone Cancer Pain

Jun 4, 2017 by in ORTHOPEDIC Comments Off on Biology of Bone Cancer Pain

Fig. 3.1 Mechanisms of bone cancer : Histophotomicrographs of confocal (a) and histologic (b) serial images of normal bone and confocal images of spinal cord of tumor-bearing mice (d and…

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Prostate Cancer Bone Metastasis

Jun 4, 2017 by in ORTHOPEDIC Comments Off on Prostate Cancer Bone Metastasis

Guideline Recommendation for bone scan Recommendation for CT/MRI National Comprehensive Cancer Network (NCCN) [10] Symptomatic patients Those with a life expectancy >5 years and … PSA >20 T2 disease with…

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