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Musculoskeletal 'don't touch' lesions: pictorial essay

机译:肌肉骨骼的“请勿触摸”病变:绘画论文

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Focal bone lesions are not uncommon findings in the daily practice of radiology. Therefore, it is essential to differentiate between lesions with aggressive, malignant potential that require action and those that have no clinical significance, many of which are variants or benign lesions, sometimes self-limited and related to reactive processes. In some cases, a diagnostic error can have catastrophic results. For example, a biopsy performed in a patient with myositis ossificans can lead to an incorrect diagnosis of sarcomatous lesions and consequently to mutilating surgical procedures. The present study reviews the main radiological aspects of the lesions that are most commonly seen in daily practice and have the potential to be confused with aggressive, malignant bone processes. We also illustrate these entities by presenting cases seen at our institution.
机译:在放射学的日常实践中,局灶​​性骨病变并非罕见。因此,必须区分具有侵袭性,恶性潜能且需要采取行动的病变和没有临床意义的病变,其中许多是变异性或良性病变,有时是自限性的并且与反应过程有关。在某些情况下,诊断错误可能会导致灾难性的结果。例如,在骨化性肌炎患者中进行的活检可能导致肉瘤病变的错误诊断,并因此导致手术方法的残缺。本研究回顾了在日常实践中最常见的病变的主要放射学方面,并有可能与侵袭性,恶性骨过程相混淆。我们还将通过介绍在我们机构中看到的案例来说明这些实体。

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