Parosteal osteosarcoma with myocardial metastasis 13 years after follow-up

Santos-Machado, Telma M.; Oliveira, Cláudia Regina M.C.; Croci, Alberto Tesconi; Fernandes, Andréia da Silva; Abadi, Márcia Datz; Baptista, André Mathias; Camargo, Olavo Pires de

doi:10.1590/s0041-87812003000200010

Cited by 11 publications

(4 citation statements)

References 23 publications

(22 reference statements)

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“…With the evolution of the materials and surgical techniques, arthroscopy has become more of a surgical method than a diagnostic tool, and magnetic resonance is fast becoming the favorite diagnostic method for many of surgeons [52][53][54] . The results of the present study demonstrate that knee meniscal and cruciate ligament lesions can be accurately diagnosed by magnetic resonance and support the findings of other studies.…”

Section: Discussionmentioning

confidence: 99%

Accuracy of Magnetic Resonance in Identifying Traumatic Intraarticular Knee Lesions

Vaz

Camargo

Santana

et al. 2005

Clinics

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PURPOSE:To evaluate the diagnostic accuracy of magnetic resonance imaging of the knee in identifying traumatic intraarticular knee lesions. METHOD: 300 patients with a clinical diagnosis of traumatic intraarticular knee lesions underwent prearthoscopic magnetic resonance imaging. The sensitivity, specificity, positive predictive value, negative predictive value, likelihood ratio for a positive test, likelihood ratio for a negative test, and accuracy of magnetic resonance imaging were calculated relative to the findings during arthroscopy in the studied structures of the knee (medial meniscus, lateral meniscus, anterior cruciate ligament, posterior cruciate ligament, and articular cartilage). RESULTS: Magnetic resonance imaging produced the following results regarding detection of lesions: medial meniscus: sensitivity 97.5%, specificity 92.9%, positive predictive value 93.9%, positive negative value 97%, likelihood positive ratio 13.7, likelihood negative ratio 0.02, and accuracy 95.3%; lateral meniscus: sensitivity 91.9%, specificity 93.6%, positive predictive value 92.7%, positive negative value 92.9%, likelihood positive ratio 14.3, likelihood negative ratio 0.08, and accuracy 93.6%; anterior cruciate ligament: sensitivity 99.0%, specificity 95.9%, positive predictive value 91.9%, positive negative value 99.5%, likelihood positive ratio 21.5, likelihood negative ratio 0.01, and accuracy 96.6%; posterior cruciate ligament: sensitivity 100%, specificity 99%, positive predictive value 80.0%, positive negative value 100%, likelihood positive ratio 100, likelihood negative ratio 0.01, and accuracy 99.6%; articular cartilage: sensitivity 76.1%, specificity 94.9%, positive predictive value 94.7%, positive negative value 76.9%, likelihood positive ratio 14.9, likelihood negative ratio 0.25, and accuracy 84.6%. CONCLUSION: Magnetic resonance imaging is a satisfactory diagnostic tool for evaluating meniscal and ligamentous lesions of the knee, but it is unable to clearly identify articular cartilage lesions.

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Section: Discussionmentioning

confidence: 99%

Accuracy of Magnetic Resonance in Identifying Traumatic Intraarticular Knee Lesions

Vaz

Camargo

Santana

et al. 2005

Clinics

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“…Another point is that; case series demonstrate an average of 3.7 years before the diagnosis of cardiac metastasis, which was 7 years in our case [6]. Santos-Machado et al reported a case of parosteal osteosarcoma with myocardial metastasis after 13 years of follow-up [11]. As a result, radiological screening should be performed during a long follow-up phase especially in patients with multiple metastases.…”

Section: Discussionmentioning

confidence: 71%

Cardiac metastasis of osteosarcoma

et al. 2010

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AbstractCardiac osteosarcoma metastasis is extremely rare and is documented in several case reports in the literature. The behaviour of osteosarcoma metastases is similar to the primary tumour. Thoracic non-enhanced computed tomography (CT) examination is beneficial in the detection of calcific cardiac metastases. In this case report, we describe a 29-year-old woman with cardiac osteosarcoma metastasis after 7 years of follow-up, compare the demographic features with previous cases and discuss the imaging findings.

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“…Patients with incomplete surgery can have multiple recurrences, so multiple surgeries are not uncommon. [22][23][24] The longest recorded recurrence was 21 years after the initial operation. [25] Therefore, for low-grade malignant tumors of PO, the follow-up time should be long to facilitate close observation.…”

Section: Discussionmentioning

confidence: 99%

Parosteal osteosarcoma of the fibula in a middle-aged patient

Chen

Xu²,

Zhang³

et al. 2019

Medicine

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Rationale:Parosteal osteosarcoma (PO) is relatively rare, accounting for about 1% of primary malignant bone tumors and 4% of all osteosarcomas. Onset is generally at approximately 20 to 40 years of age; the distal posterior surface of femur is the most common site, accounting for more than 60% cases. However, PO in middle-aged or elderly patients is extremely rare and PO occurring in the fibula is even rarer. To our knowledge, this is the first case of PO occurring in the fibula of a middle-aged adult.Patient concerns:We present a case of a 47-year-old female who had a lateral mass on her left knee for 3 months with no obvious cause.Diagnoses:The patient was initially diagnosed with a proximal left fibula tumor via x-ray scan at a local hospital. Subsequently, osteochondroma was highly suspected through computed tomography (CT) and magnetic resonance imaging (MRI) obtained at our hospital. Finally, the postoperative pathological report confirmed PO.Interventions:She underwent a complete resection of the left fibula tumor and received postoperative adjuvant chemotherapy.Outcomes:The patient recovered well and was discharged on the 10th day after admission. Additionally, there was no evidence of recurrence at the 4-year follow-up after surgery.Lessons:In middle-aged or elderly patients, early diagnosis of PO in the fibula is difficult and misdiagnosis or missed diagnosis is common. In clinical practice, PO is uncommon in middle-aged or elderly patients, occurs more rarely in the peroneal bone, and should be carefully identified. CT and MRI are essential for diagnosis, with pathological examination being effective for confirmation. Because of the limited reports of PO of the fibula in middle-aged or elderly adults, the present case raises awareness of this rare condition.

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Parosteal osteosarcoma with myocardial metastasis 13 years after follow-up

Abstract: The review leads to the conclusion that the occurrence of metastasis from parosteal osteosarcoma can occur in up to 38% of the cases, in spite of its relatively low aggressiveness. However, myocardial metastasis of a parosteal osteosarcoma is an event that was not found in the literature.

Cited by 11 publications

References 23 publications

Accuracy of Magnetic Resonance in Identifying Traumatic Intraarticular Knee Lesions

Accuracy of Magnetic Resonance in Identifying Traumatic Intraarticular Knee Lesions

Cardiac metastasis of osteosarcoma

Parosteal osteosarcoma of the fibula in a middle-aged patient

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