"Location "
"T1: low to an intermediate signal"
"T2: high intensity with or without signal voids indicating calcifications"
"GRE/SWI: blooming of mineralised/calcified portions"
"T1 C+ (Gd): peripheral and septal contrast enhancement 9"
"DCE: arterial enhancement favours chondrosarcoma vs enchondroma"
"The main complications include 1,"
"Individuals with enchondromatosis and a somatic mosaic mutation in IDH1 or IDH2 are at a higher risk to develop chondrosarcomas 1."
"About 50% of chondrosarcomas display somatic mutations in the IDH1 and IDH2 genes 1. They are also characterised by aneuploidy and complex karyotypes, as well as alterations in the p53 and RB1 signalling pathways in >80% of high-grade chondrosarcomas 7. Other alterations include mutations in the COL2A1 gene in more than one-third of the cases 7,8. Copy number variations of CDKN2A are found in about ¾ of high-grade central chondrosarcomas, but not in low-grade chondrosarcomas or enchondromas 1,7."
"About 50% of chondrosarcomas display somatic mutations in the IDH1 and IDH2 genes 1. They are also characterised by aneuploidy and complex karyotypes, as well as alterations in the p53 and RB1 signalling pathways in >80% of high-grade chondrosarcomas 7. Other alterations include mutations in the COL2A1 gene in more than one-third of the cases 7,8. Copy number variations of CDKN2A are found in about ¾ of high-grade central chondrosarcomas, but not in low-grade chondrosarcomas or enchondromas 1,7."
"PET-CT can show a high FDG uptake in intermediate- and high-grade chondrosarcomas with a SUVmax of >4.4 and a high specificity of 99% versus enchondromas and low-grade chondrosarcomas 11,17, with the limitation that almost half of the intermediate and high-grade chondrosarcoma cases will reveal a SUVmax in an inconclusive range of 2-4.4 not helping the differentiation versus low-grade chondrosarcomas 1."
"PET-CT can show a high FDG uptake in intermediate- and high-grade chondrosarcomas with a SUVmax of >4.4 and a high specificity of 99% versus enchondromas and low-grade chondrosarcomas 11,17, with the limitation that almost half of the intermediate and high-grade chondrosarcoma cases will reveal a SUVmax in an inconclusive range of 2-4.4 not helping the differentiation versus low-grade chondrosarcomas 1."
"Ewing sarcoma"
Expected headings
"Location "
"Associations"
"Plain radiograph/CT"
"Signal characteristics"
"Complications"
"MRI is an important tool in the detection, grading and differentiation of intermediate- to higher-grade chondrosarcomas versus low-grade chondrosarcoma as well as other bone tumours. MR imaging characteristics include the following 1,9-16:"
"intramedullary location, lobulated or geographical shape"
"absence or loss of entrapped fatty marrow 10 (e.g. on follow-up studies)"
"History and etymology"