A pragmatic approach to the imaging and follow-up of solitary central cartilage tumours of the proximal humerus and knee. Issue 7 (July 2019)

• Record Type: Journal Article
• Authors: Patel, A.; Davies, A.M.; Botchu, R.; James, S.
• Is Part Of: Clinical radiology. Volume 74:Issue 7(2019)
• Page Start: 517
• Page End: 526
• Publication Date: 2019-07
• Subjects: Medical radiology -- Periodicals; Radiotherapy -- Periodicals; Radiotherapy -- Periodicals; Radiology -- Periodicals; Societies, Medical -- Periodicals; Medical radiology; Radiotherapy; Electronic journals; Periodicals; 616.0757
• DOI: 10.1016/j.crad.2019.01.025
• Languages: English
• ISSNs: 0009-9260

Abstract

Abstract : Central cartilage tumours of bone range from the benign enchondroma to the malignant chondrosarcoma. They are an incidental finding in up to 2.8% of routine magnetic resonance imaging (MRI) examinations performed of the shoulder and knee. The purpose of this review is to provide a current appraisal of the imaging and histological challenges of distinguishing enchondroma from low-grade chondrosarcoma. The general radiologist, encountering these lesions in the proximal humerus and around the knee, is introduced to the Birmingham Atypical Cartilage Tumour Imaging Protocol (BACTIP). This provides a guide to the initial assessment and diagnosis, a stepwise imaging follow-up plan, and the indications for onward specialist orthopaedic oncology referral or discharge from follow-up.