1 / 26

UBC

7M. 7M. UBC. 45F swelling of arm with numbness of 2nd and 3rd fingers. Ax PDFS. Ax T1. *. Fibrolipomatous hamartoma of the median nerve with macrodystrophia lipomatosis. Nerve territory directed macrodactyly Localised form of gigantism Median or Plantar nerves

liliha
Download Presentation

UBC

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. 7M

  2. 7M

  3. UBC

  4. 45F swelling of arm with numbness of 2nd and 3rd fingers

  5. Ax PDFS Ax T1 *

  6. Fibrolipomatous hamartoma of the median nerve with macrodystrophia lipomatosis • Nerve territory directed macrodactyly • Localised form of gigantism • Median or Plantar nerves • Possible relation with neurofibromatosis

  7. 65MPain in arm and leg

  8. *

  9. Fibrosarcoma of humerusMetastasis to femur • Very aggressive tumour • 3rd most common primary malignant bone • Osteosarcoma, chondrosarcoma • Bony or soft tissue • Looks like MFH • Primary or secondary in • Irradiation, Paget’s, dedifferentaion of chondro • MFH in bone infarct

  10. Description of bone lesion • Age • Location • Axial • Body or posterior elements • Appendicular • Epi, Met, Dia. Medullary, Eccentric, Cortical • Size, shape, lytic, sclerotic • Margins • Geographic, Moth eaten, Permeative • Wide or narrow zone of transition • Periosteal reaction, Soft tissue mass • Matrix

  11. 35M8w post injury

  12. Cor T2 Cor T1

  13. Post traumatic myositsis ossificans • 4/52 Faint peripheral Ca • Periosteal reaction • 8/52 Circumscribed cortex • Central lacy pattern • 5/12 Maturity • >6/12 Regression • Separate from bone • 1 year Usually disappears • Periosteal reaction remains

  14. 25MBlocker

  15. *

  16. Sport related myositis ossificans • Single direct blow • Repeated minor trauma • Adductor longus-Rider’s bone • Brachialis-Fencer’s bone • Soleus-Dancer’s bone • Blocker’s arm

  17. 52F 8w post trauma

  18. T2

  19. Cor T1

  20. T2 *

  21. Myositis Ossificans • Primary or Secondary to trauma • Pseudo malignant ossification of soft tissue

  22. 9MSwelling of arm

  23. Infantile fibromatosis • Rare, locally aggressive • Usually sub Q • Abdominal wall, buttocks, shoulder, upper arm, H+N • ST mass, non calcified • Periosteal reaction or pressure erosion

More Related