MUSCULOSKELETAL MEDICINE
Comparative Musculoskeletal Histology
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,…
Synovial Chondromatosis
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…
Benign Nerve Sheath Tumors
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….
Undifferentiated Sarcoma
Malignant Fibrous Histiocytoma, High-Grade Pleomorphic Undifferentiated Sarcoma CLINICAL SUMMARY Undifferentiated sarcoma is the preferred term for the previously named malignant fibrous histiocytoma (MFH). This designation probably encompasses a common endpoint…
Pigmented Villonodular Synovitis
Diffuse Pigmented Villonodular Synovitis (PVNS) CLINICAL SUMMARY Diffuse PVNS is a benign, proliferative disorder of the synovium with a distinctive complex nodular appearance on MRI. It is most common in…
Diagnostic Features of Bone Tumors
History Age, Pain AGE The patient’s age and clinical presentation are very helpful in predicting the diagnosis in musculoskeletal tumors and greatly aid in the interpretation of the imaging studies….
Fibromatosis
Extraabdominal Desmoid Tumor, Aggressive Fibromatosis CLINICAL SUMMARY Fibromatosis is a benign, locally aggressive tumor originating in an intermuscular location, with a highly infiltrative growth pattern and a propensity to recur…
Giant Cell Tumor of Tendon Sheath
Tenosynovial Pigmented Villonodular Synovitis (PVNS), Nodular PVNS CLINICAL SUMMARY Giant cell tumor of tendon sheath is a slow-growing tumor associated with mechanical pain, most commonly in the hands and feet….
Vascular Malformations
Congenital Venous Malformation, Intramuscular Hemangioma, Low-Flow Vascular Malformation CLINICAL SUMMARY Congenital vascular malformations can be found in any organ. Intramuscular lesions, often described as intramuscular hemangiomas , are easily recognized…