- Characteristics:
- permeative destructive lesion in which amorphous neoplastic bone is detected;
- lesion is predominately osteoblastic, but may have osteolytic component;
- cortical destruction, lack of containment;
- periosteal bone formation, & poorly defined margins;
- periosteal reaction may take the form of triangular area of bone at the cortical margins produced by periosteal elevation (Codman's
triangle);
- Sun Burst pattern:
- amorphous, neoplastic bone spicules arising perpendicular to long axis of the limb;
- differential diagnosis:
- Ewing's sarcoma;
- osteomyelitis
- Osteoblastoma;
- CT Scan:
- used to detect radiographically occult pulmonary metastases;
- helps to determine response to chemotherapy and plan surgical approach