ABSTRACT
This computed tomography study examined the reliability of the linea aspera as a rotational landmark in tumor endoprosthetic replacement by determining its cross-sectional location on the femur.
Subject(s)
Femoral Neoplasms/diagnostic imaging , Femur/diagnostic imaging , Adolescent , Adult , Aged , Aged, 80 and over , Diaphyses/diagnostic imaging , Diaphyses/surgery , Female , Femoral Neoplasms/surgery , Femur/surgery , Humans , Male , Middle Aged , Positron Emission Tomography Computed Tomography , Prostheses and Implants , Young AdultABSTRACT
Graft healing in vivo can be affected by allograft processing. We asked whether a new processing technique influenced graft-host healing compared with autograft and a standard processing technique in a canine ulna model. We used bilateral intercalary allografts or autografts in the ulna of 13 skeletally mature male coonhounds. Each animal received two allografts, either one autograft and one allograft, or two autografts. At term (90 days), the graft sites were harvested. We assessed union with high-resolution xray imaging. Each specimen was processed for nondecalcified histologic analysis to assess the graft-host interface. Quantitative histomorphometric analysis was performed to determine spatial location and area of bone. Radiographic analysis, histologic analysis, and histomorphometric measures revealed no differences in union, mean total bone area, or total endosteal/intramedullary bone for the new process, standard process, and autografts. Our preliminary data suggest the new processing techniques may increase the safety of allograft transplantation without adversely affecting union when compared with standard processing techniques and autograft in a canine model.
Subject(s)
Bone Transplantation , Fracture Healing , Tissue and Organ Harvesting/methods , Ulna Fractures/surgery , Animals , Dogs , Male , Models, Animal , Pilot Projects , Radiography , Transplantation, Autologous , Transplantation, Homologous , Ulna Fractures/diagnostic imaging , Ulna Fractures/pathologySubject(s)
Calcinosis/diagnosis , Cervical Vertebrae/pathology , Neck Pain/diagnosis , Spinal Diseases/diagnosis , Biopsy , Bony Callus/pathology , Calcinosis/complications , Calcinosis/diagnostic imaging , Cervical Vertebrae/diagnostic imaging , Cervical Vertebrae/surgery , Diagnosis, Differential , Female , Humans , Magnetic Resonance Imaging , Middle Aged , Neck Pain/etiology , Neck Pain/physiopathology , Osteoblastoma/diagnosis , Osteochondroma/diagnosis , Osteoma, Osteoid/diagnosis , Spinal Diseases/complications , Spinal Diseases/diagnostic imaging , Tomography, X-Ray Computed , Treatment Outcome , Whole Body ImagingABSTRACT
Human chorionic gonadotropin is a glycoprotein hormone normally synthesized by placental syncytiotrophoblast cells. It also is secreted by gestational trophoblastic tumors, gonadal tumors, and even various nongonadal tumors, including bone and soft tissue sarcomas, as a paraneoplastic syndrome. The literature contains one case report of beta human chorionic gonadotropin production from a primary bone sarcoma occurring in a male patient. We report a woman of childbearing age who presented with a distal femur lytic lesion, clinical symptoms suggestive of pregnancy, and elevated serum beta human chorionic gonadotropin. Although the clinical diagnosis of a sarcoma was never in doubt, we present this case to emphasize a need to exclude pregnancy in women of childbearing age to avoid delay in biopsy and subsequent management. Positive immunohistochemical staining of the biopsy specimen established the tumor cells as the source of beta human chorionic gonadotropin.
