Key Points
• Metastases and myeloma are common in the bony pelvis, whereas other bone tumours and tumour-like lesions are relatively uncommon.
• Primary malignant bone tumours of the pelvis are more common than benign tumours with chondrosarcoma, the most common primary malignant bone tumour in the mature pelvis (excluding myeloma), and Ewing’s sarcoma, the most common in the immature pelvis.
• Osteochondroma is the most common benign tumour of the pelvis and eosinophilic granuloma the most common tumour-like lesion.
• The majority of tumours and tumour-like lesions arise in the ilium.
• Due to anatomical factors, delay in the diagnosis of pelvic bone tumours is not uncommon and lesions can grow to a relatively large size before detection.
• Although MR imaging is the cross-sectional imaging method of choice for assessing pelvic tumours, CT is often a useful complementary technique in identifying matrix and periosteal mineralisation and cortical destruction.
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Ritchie, D. (2009). Bony Pelvis. In: Davies, A., Sundaram, M., James, S. (eds) Imaging of Bone Tumors and Tumor-Like Lesions. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-77984-1_34
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