Pediatric Radiology

, Volume 18, Issue 2, pp 140–148 | Cite as

Primary bone tumours of the hand

Report of 21 cases
  • K. Kozlowski
  • E. M. Azouz
  • J. Campbell
  • D. Marton
  • L. Morris
  • J. Padovani
  • P. Sprague
  • G. Beluffi
  • G. F. Berzero
  • P. Cherubino
Originals

Abstract

Twenty-one primary bone tumours of the hand in children from 8 paediatric hospitals are reported. Osteochondromas and enchondromas were not included. Our material consisted of 16 patients withcommon tumours (3 Ewing's sarcoma, 5 aneurysmal bone cyst, 6 osteoid osteoma and 2 epidermoid cyst) and 5 patients withuncommon tumours (osteoma, simple bone cyst, haemangiopericytoma, capillary angiomatous tumour and benign ossifying fibroma or osteoblastoma). The X-ray diagnosis of thecommon tumours should have high concordance with histology, whereas that ofuncommon tumours is much more difficult and uncertain. The characteristic features of Ewing's sarcoma are stressed as all our children with this tumour had a delayed diagnosis and a fatal outcome. Differential diagnosis with other short tubular bone lesions of the hand — specifically osteomyelitis — is discussed and the possibilities of microscopic diagnosis are stressed.

Keywords

Sarcoma Differential Diagnosis Osteomyelitis Bone Lesion Fatal Outcome 

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Copyright information

© Springer-Verlag 1988

Authors and Affiliations

  • K. Kozlowski
    • 8
  • E. M. Azouz
    • 3
  • J. Campbell
    • 5
  • D. Marton
    • 4
  • L. Morris
    • 1
  • J. Padovani
    • 6
  • P. Sprague
    • 2
  • G. Beluffi
    • 7
  • G. F. Berzero
    • 7
  • P. Cherubino
    • 7
  1. 1.The Adelaide Children's HospitalAdelaide
  2. 2.Hospital for ChildrenPerthAustralia
  3. 3.The Montreal Children's HospitalMontrealCanada
  4. 4.St. Justine HospitalMontrealCanada
  5. 5.The Children's HospitalDenverUSA
  6. 6.Children's HospitalMarseilleFrance
  7. 7.Servizio di Radiodiagnostica Pediatrica e Clinica Ortopedica dell'Universita, IRCCS Policlinico S. MatteoPaviaItaly
  8. 8.Department of RadiologyRoyal Alexandra Hospital for ChildrenSydneyAustralia

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