| Symptoms |
- Presentation
- usually and enlarging painless mass
- usually symptoms develop after mass reaches ten cm
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| Imaging |
- Radiograph
- MRI
- shows deep seated inhomogeneous mass
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| Histology |
- Classic characteristics are
- fasiculated growth pattern
- spindle-shaped cells with scant cytoplasm and indistinct borders
- cells separated by interwoven collagen fibers
- tissue may be organized in herringbone fashion
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| Treatment |
- Operative
- wide local resection with perioperative radiation
- indications
- radiation
- add radiation if tumor is > 5 cm (5000 cGy before resection and 2000 cGy after resection)
- local adjuvant treatment
- may do local adjuvant treatment with phenol or cryotherapy
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| IBank |
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Location |
Xray
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Xray
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CT
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B. Scan
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MRI
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MRI
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Histo(1)
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Case A
|
tibia |
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(1) - histology does not always correspond to case
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