SURGERY DEPARTMENT MEDICAL FACULTY YARSI UNIVERSITY JAKARTA 2008

rapidly  Clinical picture  Persistent skeletal pain  Localized tenderness  Enlarging mass  Limitation of movement . Primary tumors uncommon  Secondary tumors consist 80%  Primary tumors  Metastasizes widely.

 Diagnosis  Clinician  Radiologist  pathologist .

Radiologic characteristic  Benign  Cystic expansion with mature cortex around  Geographic lesion  No periosteal new bone formation .

 Malignant  Permeative destruction  No clear demarcation between normal and abnormal bone  Gross bone destruction with cortical defect  Periosteal or bone formation within tumors or its margin      Periosteal reaction Onion skin formation Sun burst. linear calsification Osteolytic Osteoblastic for breast and prostate tumors .

OSTEOGENIC SARCOMA .PRIMARY BONE TUMORS 1.

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SUNBURST .

SUNRAY PERIOSTEAL REACTION .

SUNRAY APPEARANCE .

Codman triangle .

Codman triangle .

OSTEOCHONDROMA .2.

3. EWING SARCOMA .

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Thank you .

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