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Imaging of Articular and Periarticular Tumors and Pseudotumors

  • Sergio Lopes Viana
  • Maria Custódia Machado Ribeiro
  • Bruno Beber Machado
Chapter

Abstract

Even though tumors and pseudotumors are not rheumatic conditions per se, their clinical and/or imaging presentation often resemble those of articular diseases, especially when located within the joints or in nearby areas. Histopathological analysis remains indispensable for a definitive diagnosis, but imaging studies play a fundamental role in the assessment of these lesions. Many musculoskeletal tumors/pseudotumors display a typical appearance on imaging, thus allowing a presumptive diagnosis with a reasonable degree of accuracy. In addition, surgical planning relies on adequate preoperative staging, which can be safely achieved with imaging. Only selected lesions more prone to simulate rheumatic conditions in the pediatric age group – either from a clinical standpoint or on imaging – are covered in this chapter. Bone lesions include osteoid osteoma, chondroblastoma, cortical desmoids, focal fibrocartilaginous dysplasia, and dysplasia epiphysealis hemimelica, while pigmented villonodular synovitis, localized nodular synovitis, giant cell tumor of the tendon sheath, lipoma arborescens, primary synovial osteochondromatosis, and synovial hemangioma comprise the soft-tissue lesions to be studied.

Keywords

Imaging Joints Radiology Children Adolescents Pediatrics Radiographs X-rays Ultrasonography Computed tomography Magnetic resonance imaging Tumor Pseudotumor Osteoid osteoma Chondroblastoma Cortical desmoid Focal fibrocartilaginous dysplasia Dysplasia epiphysealis hemimelica Pigmented villonodular synovitis Localized nodular synovitis Giant cell tumor of the tendon sheath Lipoma arborescens Primary synovial osteochondromatosis Synovial hemangioma 

Recommended Reading

  1. 1.
    Bahk WJ, Lee HY, Kang YK, Park JM, Chun KA, Chung YG. Dysplasia epiphysealis hemimelica: radiographic and magnetic resonance imaging features and clinical outcome of complete and incomplete resection. Skeletal Radiol. 2010;39:85–90.CrossRefGoogle Scholar
  2. 2.
    Bancroft LW, Peterson JJ, Kransdorf MJ. MR imaging of tumors and tumor-like lesions of the hip. Magn Reson Imaging Clin N Am. 2005;13:757–74.CrossRefGoogle Scholar
  3. 3.
    Celıkyay RY, Celikyay F, Bilgic E, Ascı M, Koseoglu D. Dysplasia epiphysealis hemimelica of the lower limb. Skeletal Radiol. 2017;46:111–5.CrossRefGoogle Scholar
  4. 4.
    Chung CB, Boucher R, Resnick D. MR imaging of synovial disorders of the knee. Semin Musculoskelet Radiol. 2009;13:303–25.CrossRefGoogle Scholar
  5. 5.
    Ciftdemir M, Tuncel SA, Usta U. Atypical osteoid osteomas. Eur J Orthop Surg Traumatol. 2015;25:17–27.CrossRefGoogle Scholar
  6. 6.
    Degnan AJ, Ho-Fung VM. More than epiphyseal osteochondromas: updated understanding of imaging findings in dysplasia epiphysealis hemimelica (trevor disease). AJR Am J Roentgenol. 2018;211:910–9.CrossRefGoogle Scholar
  7. 7.
    Demertzis JL, Kyriakos M, Loomans R, McDonald DJ, Wessell DE. Synovial hemangioma of the hip joint in a pediatric patient. Skeletal Radiol. 2014;43:107–13.CrossRefGoogle Scholar
  8. 8.
    Ebrahim FS, Jacobson JA, Lin J, Housner JA, Hayes CW, Resnick D. Intraarticular osteoid osteoma: sonographic findings in three patients with radiographic, CT, and MR imaging correlation. AJR Am J Roentgenol. 2001;177:1391–5.CrossRefGoogle Scholar
  9. 9.
    Eckhardt BP, Hernandez RJ. Pigmented villonodular synovitis: MR imaging in pediatric patients. Pediatr Radiol. 2004;34:943–7.CrossRefGoogle Scholar
  10. 10.
    Flemming DJ, Hash TW 2nd, Bernard SA, Brian PS. MR imaging assessment of arthritis of the knee. Magn Reson Imaging Clin N Am. 2014;22:703–24.CrossRefGoogle Scholar
  11. 11.
    Frick MA, Wenger DE, Adkins M. MR imaging of the synovial disorders of the knee: an update. Radiol Clin North Am. 2007;45:1017–31.CrossRefGoogle Scholar
  12. 12.
    Howe BM, Wenger DE. Lipoma arborescens: comparison of typical and atypical disease presentations. Clin Radiol. 2013;68:1220–6.CrossRefGoogle Scholar
  13. 13.
    Karami M, Soleimani M, Shiari R. Pigmented villonodular synovitis in pediatric population: review of literature and a case report. Pediatr Rheumatol Online J. 2018;  https://doi.org/10.1186/s12969-018-0222-4.
  14. 14.
    Lambert J, Verstraeten T, Mermuys K. Chondroblastoma: an unusual cause of shoulder pain in adolescence. J Belg Soc Radiol. 2016;  https://doi.org/10.5334/jbr-btr.1027.
  15. 15.
    Larbi A, Viala P, Cyteval C, Snene F, Greffier J, Faruch M, et al. Imaging of tumors and tumor-like lesions of the knee. Diagn Interv Imaging. 2016;97:767–77.CrossRefGoogle Scholar
  16. 16.
    Levine BD, Motamedi K, Seeger LL. Synovial tumors and proliferative diseases. Rheum Dis Clin North Am. 2016;42:753–68.CrossRefGoogle Scholar
  17. 17.
    Lobo-Mueller E, Amaral JG, Babyn PS, John P. Extremity vascular anomalies in children: introduction, classification, and imaging. Semin Musculoskelet Radiol. 2009;13:210–35.CrossRefGoogle Scholar
  18. 18.
    Nakura A, Kawabata H, Tamura D, Sugita A. Focal fibrocartilaginous dysplasia in the ulna with the radial head dislocation: a case report and literature review. J Pediatr Orthop B. 2017;26:41–7.CrossRefGoogle Scholar
  19. 19.
    Navarro OM, Laffan EE, Ngan BY. Pediatric soft-tissue tumors and pseudo-tumors: MR imaging features with pathologic correlation: part 1. Imaging approach, pseudotumors, vascular lesions, and adipocytic tumors. Radiographics. 2009;29:887–906.CrossRefGoogle Scholar
  20. 20.
    Papaioannou G, Sebire NJ, McHugh K. Imaging of the unusual pediatric ‘blastomas’. Cancer Imaging. 2009;9:1–11.CrossRefGoogle Scholar
  21. 21.
    Sanchez R, Strouse PJ. The knee: MR imaging of uniquely pediatric disorders. Magn Reson Imaging Clin N Am. 2009;17:521–37.CrossRefGoogle Scholar
  22. 22.
    Sheldon PJ, Forrester DM, Learch TJ. Imaging of intraarticular masses. Radiographics. 2005;25:105–19.CrossRefGoogle Scholar
  23. 23.
    Song MH, Yoo WJ, Cho TJ, Chung CY, Park MS, Cheon JE, et al. Clinical and radiological features and skeletal sequelae in childhood intra-/juxta-articular versus extra-articular osteoid osteoma. BMC Musculoskelet Disord. 2015;  https://doi.org/10.1186/s12891-015-0456-y.
  24. 24.
    Stacy GS, Heck RK, Peabody TD, Dixon LB. 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;178:589–94.CrossRefGoogle Scholar
  25. 25.
    Stein-Wexler R. MR imaging of soft tissue masses in children. Magn Reson Imaging Clin N Am. 2009;17:489–507.CrossRefGoogle Scholar
  26. 26.
    Traore SY, Dumitriu DI, Docquier PL. Intra-articular osteoid osteoma mimicking juvenile arthritis. Case Rep Orthop. 2014;  https://doi.org/10.1155/2014/912609.
  27. 27.
    Uhl M, Herget G, Kurz P. Chondrogene Knochentumoren: Pathologie und Radiomorphologie. Radiologe. 2016;56:476–88.CrossRefGoogle Scholar
  28. 28.
    Vanhoenacker FM, Gielen JL, Vandervliet E, Van Dyck P. Focal fibrocartilaginous dysplasia. JBR-BTR. 2008;91:67.PubMedGoogle Scholar
  29. 29.
    Wong KA, Singh VA, Pailoor J. Intra-articular haemangioma of the knee in the skeletally immature. Singapore Med J. 2013;54:e228–9.PubMedGoogle Scholar
  30. 30.
    Wootton-Gorges SL. MR imaging of primary bone tumors and tumor-like conditions in children. Magn Reson Imaging Clin N Am. 2009;17:469–87.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Sergio Lopes Viana
    • 1
  • Maria Custódia Machado Ribeiro
    • 2
  • Bruno Beber Machado
    • 3
  1. 1.Hospital da Criança de Brasília José Alencar, Hospital Ortopédico e Medicina Especializada (HOME) and Diagnóstico Clínica de Imagens MédicasBrasíliaBrazil
  2. 2.Hospital da Criança de Brasília José AlencarBrasíliaBrazil
  3. 3.Gastren Clínica Médica e Radiológica (Iúna-ES), Clínica Radiológica Med Imagem, Clínica Radiológica Radial, Santa Casa de Misericórdia and Unimed Sul CapixabaCachoeiro de ItapemirimBrazil

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