1

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!!!!

7
 ( , )

( , , )

( neurofibromatosis, )

( CT )
( MRI )
( PET )

9
10


11
Schwannoma

12


13


14


15










Paget -

16


Myosytis ossificans

17


A. B. C.
I.

1.Osteom 1. Osteosarkom
2. Osteoid osteom 2. Maligni osteoblastom
3. Osteoblastom

18
 II.

1. Hondrom 1. Hondrosarkom
2. Osteohondrom ( exostosis ) 2. Mezenhimalni HS
3. Hondroblastom
4. Hondromiksoidni fibrom

19
Hondrosarcoma

20
Hondrosarcoma

21
Hondrosarcoma

22
Hondrosarcoma

23
Hondrosarcoma

24
III. ( )
IV.
Ewing -

25
Osteoclastoma

26


04/08/17 27
74 g. Lymphoma L 3 - 5

28
 V. ,

1. 1.
2. , , ... 2.
3.

4.
5.

29
 VI.
1. Hemangiom 1. Hemangioendoteliom 1. Angiosarkom
2. Limfangiom 2. Hemangiopericitom
3. Glomus

VII.

30
 VIII.






Myositis osificans

31

200
70

32
 Tumors and tumor -like lesions of fibrous Malignant ( malignant fibrous histiocytoma )
tissue Benign
Tumors of lymph vessels Storiform-pleomorphic traumatic neuroma
Benign ( lymphangioma ) Myxoid ( myxofibrosarcoma ) Morton neuroma
Fibroma cavernous Giant - cell ( malignant giant cell tumor of
Nodular fasciitis cystic ( cystic hygroma ) soft parts )
Proliferative fasciitis malignant Neurilemoma ( benign schwannoma )
Fibromatoses lymphangiosarcoma Inflammatory ( malignant
Superficial fibromatoses postmastectomy lymphangiosarcoma xanthogranuloma, xanthosarcoma )
Palmar and plantar fibromatosis tumors and tumor like lesions of
synovial tissue
Neurofibroma, solitary
Knuckle pads benign
Angiomatoid neurofibromatosis ( von Recklinghausen disease )
Deep fibromatoses ( extra - abdominal
Tumors and tumor - like conditions of
fibromatoses )
adipose tissue
Giant - cell tumor of tendon sheath
Localized
Malignant localized ( nodular tenosynovitis )
Benign plexiform
Adult fibrosarcoma diffuse ( florid synovitis )
Lipoma ( cutaneous, deep, and multiple ) diffuse
Postradiation fibrosarcoma malignant
Angiolipoma malignant
Fibrohistiocytic tumors synovial sarcoma ( malignant synovioma )
Spindle - cell and pleomorphic lipoma malignant schwannoma
Benign predominantly biphasic ( fibrous or epithelial )
Lipoblastoma and lipoblastomatosis peripheral tumors of primitive
neuroectodermal tissues
Fibrous histiocytoma or monophasic ( fibrous or epithelial ) Intramuscular and intermuscular lipoma tumors and tumor - like
Atypical fibroxanthoma malignant giant - cell tumor of tendon sheath lesions of cartilage and bone - forming
Intermediate ( dermatofibrosarcoma Hibernoma tissues
protuberans ) Malignant benign
Tumors and tumor - like lesions of peripheral nerves Liposarcoma panniculitis ossificans ..

33









34
 ( , )






15 .

35
 (, )

( 1 / 2 ), . , .

RTG: ,

36


,

S
20.

37


RTG:
(
)

,

38


39


70%

40















41

85%






42


43


44


45


, , ,

( )

46


( , , ... )
( , ,
... )

47


48


,

( )
50 %

( CT )
( MRI )
( PET )
49



( )

50










51


,



,
, Paget -

52


53


,




: Stroncijum 85 89 ( 89 Sr )
Samarijum 153 ( 153 Sm ) Renijum ( 188 Re )

54


55
56
57
58
59




.
( Woven bone )



( 50 % )
60


4, 6 /
700 - 900 .

20 38 %




61

80 % 10 25 . ( 17 - 18 )
6 ( , Paget -
...) .
Ewing - : ,
30.
: ,

62


( 1 / 3 )
( 1 / 6 )
( > 1 / 6 )

( 10 %
)
50% , 15 %
63

-




?

64


( 70 % ) -

( LDH ) -

65


RTG:

66
67






( )
Codman -

68

( )
"

MRI ( CT )




-

69
 RTG CT

( 80 90 %, 10 - 20 % )
15 % RTG CT
CT

(
1 2 mm )
Talijum scan -
70


: RTG

( )

?
< 10 %

71



Paget -

( )


(
"
( MFH )
" 72


o
( )

73


: Adriamycin, Methotrehat
( ) Cisplatinum..
.

74

( )

> 85 %
15 %




" ( )

75

: ,






5 - 20 40 %



76

5 -
HT 60 80 % ( disease free )


( 10 20 % ).

77
 EWING

1 %
: 3 < 21 .

5. 30.

78



( 50 % )
> > > >

:
, , scapula, clavicula

79


, , ,
( )

( 10 15 % )
: ( ES )
LDH ( )
(
)

80
EWING

81
 EWING

82
EWING

83
EWING -

84