Epiphyseal lesions (differential)
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- updated 6 Apr 2022:
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Updates to Article Attributes
Body
was changed:
Epiphyseal lesions comprise tumours and other pathologies that occur around the epiphysis and any epiphyseal equivalent bone.
Differential diagnosis
Common differential diagnoses include the following 2-4:
- chondroblastoma: rare epiphyseal tumour found in young adults; it usually does not extend into the metaphysis, and usually does not extend beyond the bone
- giant cell tumour (GCT): occurs in adolescents in whom the epiphyseal growth plates have closed; it can extend to involve the adjacent metaphysis
-
geode
/ - intraosseous ganglion
- osteomyelitis
- clear cell chondrosarcoma
- others that occur rarely
- osteosarcoma and osteoblastoma
- aneurysmal bone cyst (ABC): usually metaphyseal, but if it occurs after the growth plate is obliterated, it may extend into the epiphysis
- brown tumour
- haemophilic pseudotumour
- enchondroma
- osteoid osteoma
See also
The more common of the above entities may be recalled with a mnemonic: epiphyseal lesions (mnemonic).
-<li>-<a href="/articles/geode">geode</a>/<a href="/articles/geode">intraosseous ganglion</a>-</li>- +<li><a href="/articles/geode">geode</a></li>
- +<li><a title="Intraosseous ganglion" href="/articles/intraosseous-ganglion">intraosseous ganglion</a></li>
References changed:
- 1. Stacy G, Heck R, Peabody T, Dixon L. Neoplastic and Tumorlike Lesions Detected on MR Imaging of the Knee in Patients with Suspected Internal Derangement: Part I, Intraosseous Entities. AJR Am J Roentgenol. 2002;178(3):589-94. <a href="https://doi.org/10.2214/ajr.178.3.1780589">doi:10.2214/ajr.178.3.1780589</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/11856679">Pubmed</a>
- 2. Stacy G, Peabody T, Dixon L. Mimics on Radiography of Giant Cell Tumor of Bone. AJR Am J Roentgenol. 2003;181(6):1583-9. <a href="https://doi.org/10.2214/ajr.181.6.1811583">doi:10.2214/ajr.181.6.1811583</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/14627578">Pubmed</a>
- 3. William E. Brant, Clyde A. Helms. Fundamentals of Diagnostic Radiology. (2007) ISBN: 9780781765183 - <a href="http://books.google.com/books?vid=ISBN9780781765183">Google Books</a>
- 4. Adam Greenspan, Wolfgang Remagen. Differential Diagnosis of Tumors and Tumor-Like Lesions of Bones and Joints. (1998) ISBN: 9780397517107 - <a href="http://books.google.com/books?vid=ISBN9780397517107">Google Books</a>
- 5. Maurice M. Reeder. Reeder and Felson’s Gamuts in Radiology. (2006) ISBN: 9780387216867 - <a href="http://books.google.com/books?vid=ISBN9780387216867">Google Books</a>
- 1. Stacy GS, Heck RK, Peabody TD et-al. Neoplastic and tumorlike lesions detected on MR imaging of the knee in patients with suspected internal derangement: Part I, intraosseous entities. AJR Am J Roentgenol. 2002;178 (3): 589-94. <a href="http://www.ajronline.org/cgi/content/full/178/3/589">AJR Am J Roentgenol (full text)</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/11856679">Pubmed citation</a><div class="ref_v2"></div>
- 2. Stacy GS, Peabody TD, Dixon LB. Mimics on radiography of giant cell tumor of bone. AJR Am J Roentgenol. 2003;181 (6): 1583-9. <a href="http://www.ajronline.org/cgi/content/full/181/6/1583">AJR Am J Roentgenol (full text)</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/14627578">Pubmed citation</a><div class="ref_v2"></div>
- 3. Brant WE, Helms CA. Fundamentals of diagnostic radiology. Lippincott Williams & Wilkins. (2007) ISBN:0781765188. <a href="http://books.google.com/books?vid=ISBN0781765188">Read it at Google Books</a> - <a href="http://www.amazon.com/gp/product/0781765188?ie=UTF8&tag=radiopaediaor-20&linkCode=as2&camp=1789&creative=9325&creativeASIN=0781765188">Find it at Amazon</a><div class="ref_v2"></div>
- 4. Greenspan A, Remagen W. Differential diagnosis of tumors and tumor-like lesions of bones and joints. Lippincott Williams & Wilkins. (1998) ISBN:0397517106. <a href="http://books.google.com/books?vid=ISBN0397517106">Read it at Google Books</a> - <a href="http://www.amazon.com/gp/product/0397517106?ie=UTF8&tag=radiopaediaor-20&linkCode=as2&camp=1789&creative=9325&creativeASIN=0397517106">Find it at Amazon</a><div class="ref_v2"></div>
- 5. Maurice M. Reeder. Reeder and Felson’s Gamuts in Radiology. (2006) <a href="https://books.google.co.uk/books?vid=ISBN9780387216867">ISBN: 9780387216867</a><span class="ref_v4"></span>
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