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Peering beneath the surface: juxtacortical tumors of bone (part II)

  • Ali Gholamrezanezhad
    Correspondence
    Corresponding author: Division of Musculoskeletal Imaging, Department of Radiology, Keck School of Medicine, University of Southern California (USC), Los Angeles, CA, USA.
    Affiliations
    Department of Radiology, Cleveland Medical Center, University Hospitals of Cleveland, Case Western Reserve University, Cleveland, OH, USA
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  • Kyle Basques
    Affiliations
    Department of Radiology, Cleveland Medical Center, University Hospitals of Cleveland, Case Western Reserve University, Cleveland, OH, USA
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  • Christos Kosmas
    Affiliations
    Department of Radiology, Cleveland Medical Center, University Hospitals of Cleveland, Case Western Reserve University, Cleveland, OH, USA
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      Highlights

      • Juxtacortical tumors of bone are neoplasms arising from or just outside the cortex.
      • We illustrate the characteristic radiographic, CT and MR imaging features of various juxtacortical neoplasms that can aid in their diagnosis
      • We will try to develop an appropriate differential diagnosis for surface lesions based on imaging characteristics.

      Abstract

      Juxtacortical or surface tumors of bone are neoplasms arising from or just outside the cortex, and are composed of different histologic types. Although the imaging appearances of these lesions have similarities to their intramedullary counterparts, their location alters their radiographic and MR characteristics, creating difficulties in diagnosis. Meanwhile, several non-neoplastic lesions, such as stress reaction/stress fracture and indolent infectious processes, compound the differential diagnosis. Neoplastic juxtacortical lesions of bone have been classified into five categories: cartilaginous, fibrous, lipomatous, osseous, and metastatic tumors. Our goal in part two of this review is to illustrate the characteristic radiographic, CT and MR imaging features of various juxtacortical neoplasms, including pathognomonic imaging findings that can aid in diagnosis, and to develop an appropriate differential diagnosis for surface lesions based on imaging characteristics, lesion location and patient age.

      Keywords

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