RESUMO
We present a case of bone metastases from a malignant peripheral nerve sheath tumor (MPNST). While multiple bone lesions typically are suggestive of metastatic disease, especially in combination with a primary tumor and positive PET, the appearance of lesions in this patient was quite atypical. We are not aware of any case of metastatic disease with such atypical doughnut appearance as in our case.
RESUMO
OBJECTIVE: We present an overview of approaches for bone biopsy used to minimize potential tumor seeding of adjacent soft-tissue structures and compartments. We discuss a variety of approaches related to specific anatomic parts and review pertinent anatomy. CONCLUSION: We provide important guidelines and key examples that will help readers perform percutaneous needle bone biopsy safely.