Postradiation sarcomas of the pelvis after treatment for uterine cervical cancer: review of the CT and MR findings of five cases.

Abstract:

OBJECTIVE:To characterize the radiologic features of postradiation sarcomas arising in the pelvic bones following treatment for uterine cervical carcinoma. DESIGN AND PATIENTS:Five patients who developed postradiation sarcomas in the pelvic bones following radiation therapy for carcinoma of the uterine cervix within the irradiated field were evaluated. Pelvic radiographs, computed tomography (CT) and magnetic resonance (MR) imaging were undertaken in all patients. Histologic confirmation of the tumor type was obtained. RESULTS:Three patients whose tumors were characterized as an osteosarcoma, an angiosarcoma and a malignant fibrous histiocytoma (MFH) showed a large round or oval mass mainly in the sacroiliac joint which extended into the posterior gluteal soft tissues. In a fourth patient an osteosarcoma developed in the central ilium extending widely into the soft tissues both anteriorly and posteriorly, with calcified areas within the extraosseous mass. The fifth patient had a MFH which showed osteolytic destruction of the cortex of the acetabulum, and minimal soft tissue extension. There were no specific features or signal intensity changes on MR imaging to differentiate these cases from primary sarcomas. CONCLUSION:Postradiation sarcoma must be considered in patients with uterine carcinoma when a soft tissue mass is seen in the previously irradiated field, especially if the mass is posterior to the sacroiliac joint and the latent period is more than 5 years.

journal_name

Skeletal Radiol

journal_title

Skeletal radiology

authors

Nakanishi K,Yoshikawa H,Ueda T,Araki N,Tanaka H,Aozasa K,Nakamura H

doi

10.1007/s002560000318

keywords:

subject

Has Abstract

pub_date

2001-03-01 00:00:00

pages

132-7

issue

3

eissn

0364-2348

issn

1432-2161

journal_volume

30

pub_type

杂志文章
  • Radial artery aneurysm secondary to dynamic entrapment by extensor pollicis longus tendon: a case of snapping thumb.

    abstract::Aneurysms of the distal radial artery at the level of the wrist are rare. Most reported cases are posttraumatic, either from iatrogenic arterial puncture for radial arterial access or from a penetrating injury. Other causes include infection and connective tissue disorders. Early diagnosis is important to avoid the po...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-018-3061-y

    authors: Alabsi H,Goetz T,Murphy DT

    更新日期:2019-06-01 00:00:00

  • Pancreatitis, panniculitis, and polyarthritis (PPP) syndrome: MRI features of intraosseous fat necrosis involving the feet and knees.

    abstract::Pancreatitis, panniculitis, and polyarthritis (PPP) syndrome is extremely rare and presents as a triad of the three diseases. The patient usually presents with mild or absent abdominal symptoms. Here, we report on a case of a 66-year-old male who presented with pain and swelling in both legs and mild abdominal pain. H...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-016-2549-6

    authors: Kang DJ,Lee SJ,Choo HJ,Her M,Yoon HK

    更新日期:2017-02-01 00:00:00

  • The radiographic distinction of degenerative slippage (spondylolisthesis and retrolisthesis) from traumatic slippage of the cervical spine.

    abstract::In a review of 42 cases of degenerative arthritis of the cervical spine and 22 cases of cervical spine trauma with an observed anterior slippage (spondylolisthesis) or posterior slippage (retrolisthesis) of the vertebral bodies of 2 mm or more, characteristic features were observed which allowed distinction between de...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/BF00355101

    authors: Lee C,Woodring JH,Rogers LF,Kim KS

    更新日期:1986-01-01 00:00:00

  • The role of MRI in image-guided needle biopsy of focal bone and soft tissue neoplasms.

    abstract::Magnetic resonance imaging (MRI) plays a critical role in the management pathway of both soft tissue and bone neoplasms, from diagnosis through to post-treatment follow-up. There are a wide range of surgical, oncological, and combined treatment regimes but these rely on accurate histopathological diagnosis. This artic...

    journal_title:Skeletal radiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00256-013-1630-7

    authors: Khoo MM,Saifuddin A

    更新日期:2013-07-01 00:00:00

  • Synovial chondromatosis of the foot presenting with Lisfranc dislocation.

    abstract::Primary synovial chondromatosis is rare in the foot. We report a case of synovial chondromatosis affecting multiple sites of the foot and causing bone erosions in a 44-year-old woman. Radiographs demonstrated erosions of multiple metatarsals including the tarsometatarsal joints, resulting in Lisfranc tarsometatarsal d...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-005-0923-x

    authors: Harish S,Saifuddin A,Cannon SR,Flanagan AM

    更新日期:2005-11-01 00:00:00

  • Intramuscular nodular fasciitis of the rectus abdominis muscle in an 11-year-old girl.

    abstract::Nodular fasciitis is a benign rapidly proliferating fibrous tumor that is common in adults but relatively uncommon in children. When present in children, nodular fasciitis is typically subcutaneous in location and involves the head and neck. We present a case of intramuscular nodular fasciitis involving the rectus abd...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-012-1498-y

    authors: Mazura JC,Matrai C,Spigland N,Brill PW,Kovanlikaya A

    更新日期:2013-01-01 00:00:00

  • Efficacy of ultrasound-guided steroid injections for pain management of midfoot joint degenerative disease.

    abstract:OBJECTIVE:To examine the efficacy of ultrasound (US)-guided injections for midfoot joint degenerative changes. MATERIALS AND METHODS:The US images and radiographs of 63 patients with midfoot joint degenerative changes were retrospectively reviewed. In those patients who had US-guided intra-articular steroid injection,...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-010-1094-y

    authors: Drakonaki EE,Kho JS,Sharp RJ,Ostlere SJ

    更新日期:2011-08-01 00:00:00

  • Cone-Beam CT in diagnosis of scaphoid fractures.

    abstract:OBJECTIVE:This prospective study investigated the sensitivity of cone beam computed tomography (CBCT), a low dose technique recently made available for extremity examinations, in detecting scaphoid fractures. Magnetic resonance imaging (MRI) was used as gold standard for scaphoid fractures. MATERIALS AND METHODS:A tot...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-015-2290-6

    authors: Edlund R,Skorpil M,Lapidus G,Bäcklund J

    更新日期:2016-02-01 00:00:00

  • Unusual variation of the rotator interval: insertional abnormality of the pectoralis minor tendon and absence of the coracohumeral ligament.

    abstract:OBJECTIVE:To evaluate the anomalous insertion of the pectoralis minor tendon with absence of the coracohumeral ligament on MR arthrography and to demonstrate the associated findings seen with this anatomical variation. MATERIALS AND METHODS:We retrospectively reviewed the 335 MR arthrograms of the shoulder joint (mean...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-010-0926-0

    authors: Lee SJ,Ha DH,Lee SM

    更新日期:2010-12-01 00:00:00

  • Ultrasonographic changes after steroid injection in carpal tunnel syndrome.

    abstract:OBJECTIVE:To determine the ultrasonographic changes after steroid injection in carpal tunnel syndrome (CTS) and to evaluate the diagnostic value of ultrasound in post-treatment examination with clinical correlation. MATERIALS AND METHODS:Twenty-seven wrists with idiopathic CTS after a single injection of 40 mg of pred...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-017-2738-y

    authors: Lee YS,Choi E

    更新日期:2017-11-01 00:00:00

  • MRI in inflammatory myopathies.

    abstract::Inflammatory myopathies encompass a group of acquired muscle disorders caused by infectious agents (bacteria, viruses, fungi and parasitic agents) or autoimmune processes (polymyositis, dermatomyositis and other types). In suspected infection sonography, CT and MRI are all able to show edema and fluid collections in s...

    journal_title:Skeletal radiology

    pub_type: 杂志文章,评审

    doi:10.1007/s002560000238

    authors: Garcia J

    更新日期:2000-08-01 00:00:00

  • CT- and fluoroscopy-guided percutaneous discectomy for lumbar radiculopathy related to disc herniation: a comparative prospective study comparing lateral to medial herniated discs.

    abstract:OBJECTIVE:To evaluate and compare two groups of patients with sciatica due to intervertebral disc herniation with no neurologic deficit. The groups consisted of patients with intervertebral disc herniation in a medial location (group 1) and those in a lateral location (group 2). MATERIALS AND METHODS:A total of 200 pa...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-012-1422-5

    authors: Amoretti N,Huwart L,Marcy PY,Foti P,Hauger O,Boileau P

    更新日期:2013-01-01 00:00:00

  • MRI findings in bucket-handle tears of the triangular fibrocartilage complex.

    abstract::The triangular fibrocartilage complex (TFCC) is an intricate ligamentous and cartilaginous structure that helps transmit axial load across the wrist, and provide stability to the ulnocarpal and distal radioulnar joints (DRUJ). Because the blood supply to the TFCC varies depending on location, certain types of tears ar...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-017-2796-1

    authors: Jose J,Arizpe A,Barrera CM,Ezuddin NS,Chen D

    更新日期:2018-03-01 00:00:00

  • Prospective evaluation of contrast-enhanced MR imaging after uncomplicated lumbar discography.

    abstract:OBJECTIVE:Postdiscography infection is an uncommon complication. Magnetic resonance (MR) imaging is often the modality of choice for evaluating spinal infection. Discography entails disc access and fluid injection that could alter the baseline MR imaging appearance of the spine and be confounded for infection. Our purp...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-006-0221-2

    authors: Carrino JA,Swathwood TC,Morrison WB,Glover JM

    更新日期:2007-04-01 00:00:00

  • Magnetic resonance imaging of the wrist in rheumatoid arthritis: demonstration of progression between 1 and 6 years.

    abstract:OBJECTIVE:To describe the changes seen in the wrist in rheumatoid arthritis (RA) on magnetic resonance (MR) imaging obtained at 1 year and 6 years. DESIGN:A cohort of patients with RA has been studied prospectively from symptom onset. PATIENTS:MR scans of the dominant wrist in 31 patients obtained at 1 year and 6 yea...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-004-0839-x

    authors: Stewart NR,Crabbe JP,McQueen FM

    更新日期:2004-12-01 00:00:00

  • MRI guided needle localization in a patient with recurrence pleomorphic sarcoma and post-operative scarring.

    abstract::MRI-guided wire localization is commonly used for surgical localization of breast lesions. Here we introduce an alternative use of this technique to help with surgical resection of a recurrent pleomorphic sarcoma embedded in extensive post-treatment scar tissue. We describe a case of recurrent pleomorphic soft tissue ...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-017-2614-9

    authors: Chang CD,Wei J,Goldsmith JD,Gebhardt MC,Wu JS

    更新日期:2017-07-01 00:00:00

  • Radiographic findings in patients with clinical Tietze syndrome.

    abstract::Thirteen patients with similar painful tender swelling in the region of the sternocostal joint (SCJ) are reported. X-ray tomography revealed changes which might explain the swelling in 11 patients. Three patients had anatomical variants of the sternum. One of these and a further two patients had marginal osteophytes a...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/BF00351265

    authors: Jurik AG,Justesen T,Graudal H

    更新日期:1987-01-01 00:00:00

  • Post-traumatic and stress-induced osteolysis of the distal clavicle: MR imaging findings in 17 patients.

    abstract:OBJECTIVE:To describe the MR imaging findings in patients with osteolysis of the distal clavicle and to compare the MR imaging appearance of clavicular osteolysis following acute injury with that related to chronic stress. DESIGN AND PATIENTS:MR imaging examinations were reviewed in 17 patients (14 men, 3 women; ages ...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s002560050501

    authors: de la Puente R,Boutin RD,Theodorou DJ,Hooper A,Schweitzer M,Resnick D

    更新日期:1999-04-01 00:00:00

  • Percutaneous radiofrequency ablation: relationship between different probe types and procedure time on length and extent of osteonecrosis in dog long bones.

    abstract:PURPOSE:We have been using radiofrequency ablation for the percutaneous treatment of osteoid osteoma since 2001. Frequently, lesions are located near the joint surface, involve the vertebral body or are close to major nerves. We seek to determine whether radiofrequency ablation (RFA) can be used safely in these cases. ...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-007-0416-1

    authors: Martel J,Bueno A,Domínguez MP,Llorens P,Quirós J,Delgado C

    更新日期:2008-02-01 00:00:00

  • Bone scintigraphy and magnetic resonance imaging after transtrochanteric rotational osteotomy.

    abstract:OBJECTIVE:To assess the ability of bone scintigraphy and magnetic resonance imaging (MRI) to predict the outcome of transtrochanteric rotational osteotomy (TRO) for osteonecrosis of the femoral head (ONFH). DESIGN:This study was a prospective evaluation of imaging techniques. PATIENTS AND METHODS:MRI and bone scintig...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s002560050511

    authors: Iwasada S,Hasegawa Y,Iwase T,Kitamura S,Iwata H

    更新日期:1999-05-01 00:00:00

  • Case report 735. Vertebral osteosarcoma.

    abstract::A case of OS of the T6 vertebra in a 58-year-old man is presented. Diagnosis was obtained by an open biopsy. The clinical and radiographic findings were described. The topic of vertebral OS was discussed at length. We emphasize the fact that OS of the spine is rare and that those cases not associated with Paget's dise...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/BF00243074

    authors: Miller TT,Abdelwahab IF,Hermann G,Morgello S

    更新日期:1992-01-01 00:00:00

  • Imaging of chest wall infections.

    abstract::A wide variety of infections can affect the chest wall including pyogenic, tuberculous, fungal, and some other unusual infections. These potentially life-threatening disorders are frequent especially among immunocompromised patients but often misdiagnosed by physical examination and radiographs. The purpose of this ar...

    journal_title:Skeletal radiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00256-008-0636-z

    authors: Chelli Bouaziz M,Jelassi H,Chaabane S,Ladeb MF,Ben Miled-Mrad K

    更新日期:2009-12-01 00:00:00

  • Bilateral avulsion fractures of the anterior superior iliac spines in sprinters.

    abstract::Three cases of bilateral pelvic avulsion fractures in adolescent sprinters are reviewed. An-acute avulsion fracture of the anterior superior iliac spine (ASIS) occurred during active running in three teenaged sprinters. Radiography confirmed a healed fracture of the contralateral ASIS. The clinical features and radiol...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/BF00349098

    authors: Khoury MB,Kirks DR,Martinez S,Apple J

    更新日期:1985-01-01 00:00:00

  • Case report 700: Primary intracortical osteosarcoma of femur, sclerosing variant, grade 1 to 2 anaplasia.

    abstract::We report a case of intracortical OS of the mid-femur in a 43-year-old man. The patient is the oldest reported to date. Histologically, the tumor was a sclerosing variant of OS with extensive "normalization" of nuclei. This is the most common histological subtype of intracortical OS. The patient was treated by en bloc...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/BF01106096

    authors: Mirra JM,Dodd L,Johnston W,Frost DB,Barton D

    更新日期:1991-01-01 00:00:00

  • Synovial chondrosarcoma: report of a case and review of the literature.

    abstract::Primary synovial chondromatosis is a relatively uncommon condition. Synovial chondrosarcoma is considered to be very rare and it is not always clear whether the sarcoma develops by malignant transformation of synovial chondromatosis or whether it arises de novo. Differentiation of the two conditions on clinical and ra...

    journal_title:Skeletal radiology

    pub_type: 杂志文章,评审

    doi:10.1007/s002560050312

    authors: Taconis WK,van der Heul RO,Taminiau AM

    更新日期:1997-11-01 00:00:00

  • Solitary cystic lymphangioma.

    abstract::A young girl had a large isolated and localized multicystic lesion of the right humerus, which was revealed by a pathological fracture. MRI and bone biopsy showed liquid-filled bone cysts. The final diagnosis was localized cystic lymphangiomatosis. ...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/BF00202161

    authors: Martinat P,Cotten A,Singer B,Petyt L,Chastanet P

    更新日期:1995-10-01 00:00:00

  • MRI of the lumbar spine at 7 Tesla in healthy volunteers and a patient with congenital malformations.

    abstract:OBJECTIVE:The aim of this study was to evaluate sequences that are established at lower magnetic field strengths for lumbar spine imaging at 7 Tesla (7 T) MR imaging. MATERIALS AND METHODS:The lumbar spine of five healthy volunteers and a patient with spina bifida and meningocele were evaluated at 7 T. The examination...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-011-1197-0

    authors: Grams AE,Kraff O,Umutlu L,Maderwald S,Dammann P,Ladd ME,Forsting M,Gizewski ER

    更新日期:2012-05-01 00:00:00

  • Autogenous osteochondral "plug" transfer for the treatment of focal chondral defects: postoperative MR appearance with clinical correlation.

    abstract:OBJECTIVE:To describe the MR appearance following autogenous osteochondral "plug" transfer for the treatment of focal chondral defects of the knee. DESIGN AND PATIENTS:Twenty-nine 1.5-T MR knee studies including dynamic gadolinium enhancement were performed on 21 patients following autogenous osteochondral "plug" tran...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s002560100371

    authors: Sanders TG,Mentzer KD,Miller MD,Morrison WB,Campbell SE,Penrod BJ

    更新日期:2001-10-01 00:00:00

  • Multicentric malignant transformation of multiple exostoses.

    abstract::We treated a patient with large multiple chondrosarcomas derived from multiple cartilaginous exostoses. One sarcoma originated in the left pubic bone and the other sarcoma in the posterior aspect of the greater trochanter of the left femur. Thirty months after hindquarter amputation, the patient is alive without relap...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s002560050373

    authors: Ozaki T,Hillmann A,Blasius S,Link T,Winkelmann W

    更新日期:1998-04-01 00:00:00

  • MR imaging of flexor digitorum accessorius longus.

    abstract:OBJECTIVE:The flexor digitorum accessorius longus muscle (FDAL), an anomalous muscle about the ankle, has recently been implicated in tarsal tunnel syndrome. The purpose of this study is to document the prevalence of the FDAL, its MR appearance and its relation to the neurovascular bundle in the tarsal tunnel. DESIGN ...

    journal_title:Skeletal radiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/s002560050489

    authors: Cheung YY,Rosenberg ZS,Colon E,Jahss M

    更新日期:1999-03-01 00:00:00