Management of Established Rheumatoid Arthritis
CASE 1: A 27-year-old school teacher with a 6-year history of rheumatoid arthritis (RA) is seen for routine follow-up. She was recently married, and her disease had previously been well…
CASE 1: A 27-year-old school teacher with a 6-year history of rheumatoid arthritis (RA) is seen for routine follow-up. She was recently married, and her disease had previously been well…
Laura came into my office as the last patient that day. She had got an acute appointment. A bright, young woman of 25 years of age, university student, the future…
CLINICAL SUMMARY Chondrosarcoma is the second most common primary bone sarcoma, after osteosarcoma. It has a broad spectrum of presentation largely dependent on the grade of the tumor. Treatment is…
Well-Differentiated, Myxoid/Round Cell, Pleomorphic, and Dedifferentiated Subtypes CLINICAL SUMMARY Liposarcoma is the second most common soft tissue sarcoma after undifferentiated sarcoma, and is further subdivided into several distinctive subtypes. It…
CLINICAL SUMMARY Metastatic carcinoma accounts for the large majority of bone malignancies and, along with multiple myeloma, is the first consideration for any destructive bone lesion in a patient older…
CLINICAL SUMMARY Osteosarcoma is the most common primary bone sarcoma. The peak incidence is in adolescence, but it can also occur as a secondary malignancy in older adults. The rapidly…
Giant Cell–Containing Tumors Giant Cell Tumor, Chondroblastoma, Nonossifying Fibroma, and Chondromyxoid Fibroma SUMMARY All of these lesions contain giant cells. The distinction is often made by observing the background cells,…
CLINICAL SUMMARY Synovial chondromatosis is a benign synovial disorder resulting in the production of numerous small, intraarticular osteochondral bodies. Treatment, consisting of removal of the bodies and synovectomy, is usually…
Schwannoma (Neurilemmoma) and Neurofibroma CLINICAL SUMMARY Schwannomas and neurofibromas are slow-growing, benign nerve sheath tumors that arise either eccentrically from peripheral myelin-producing cells or centrally from intraneural support cells, respectively….