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Article

Clinical presentation and imaging of bone and soft-tissue sarcomas

Hakan Ilaslan, MD, Jean Schils, MD, William Nageotte, PA-C, Steven A. Lietman, MD and Murali Sundaram, MD
Cleveland Clinic Journal of Medicine March 2010, 77 (3 suppl 1) S2-S7; DOI: https://doi.org/10.3949/ccjm.77.s1.01
Hakan Ilaslan
Department of Diagnostic Radiology, Cleveland Clinic, Cleveland, OH
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  • For correspondence: [email protected]
Jean Schils
Section Head, Musculoskeletal Radiology, Department of Diagnostic Radiology, Cleveland Clinic, Cleveland, OH
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William Nageotte
Orthopaedic & Rheumatologic Institute, Cleveland Clinic, Cleveland, OH
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Steven A. Lietman
Director, Musculoskeletal Tumor Center, Department of Orthopaedic Surgery, and Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH
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Murali Sundaram
Department of Diagnostic Radiology, Cleveland Clinic, Cleveland, OH
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ABSTRACT

The clinical presentation of bone and soft-tissue sarcomas is varied. Constitutional symptoms are rare, and although bone sarcomas tend to be painful while soft-tissue sarcomas usually are not, there are exceptions to this general rule. A high index of suspicion is required for any unexplained mass with indeterminate imaging findings. Choosing the right imaging modality is critical to the diagnosis and management of patients with suspected sarcoma, and referring clinicians have a multitude of imaging options. After discovery of a malignant-appearing bone lesion by radiography, further imaging is obtained for better characterization of the lesion (typically with magnetic resonance imaging [MRI]) and for staging (typically with computed tomography of the chest). In contrast, radiographs are rarely helpful for evaluation of soft-tissue lesions, which almost always require MRI assessment.

  • © 2010 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine: 77 (3 suppl 1)
Cleveland Clinic Journal of Medicine
Vol. 77, Issue 3 suppl 1
1 Mar 2010
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Clinical presentation and imaging of bone and soft-tissue sarcomas
Hakan Ilaslan, Jean Schils, William Nageotte, Steven A. Lietman, Murali Sundaram
Cleveland Clinic Journal of Medicine Mar 2010, 77 (3 suppl 1) S2-S7; DOI: 10.3949/ccjm.77.s1.01

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Clinical presentation and imaging of bone and soft-tissue sarcomas
Hakan Ilaslan, Jean Schils, William Nageotte, Steven A. Lietman, Murali Sundaram
Cleveland Clinic Journal of Medicine Mar 2010, 77 (3 suppl 1) S2-S7; DOI: 10.3949/ccjm.77.s1.01
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