Ankle and Foot 47 - Department of Radiology - University of ...
Ankle and Foot 47 - Department of Radiology - University of ...
Ankle and Foot 47 - Department of Radiology - University of ...
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2316 VII Imaging <strong>of</strong> the Musculoskeletal System<br />
hence demonstrate poor contrast enhancement as well as<br />
a poor response to chemotherapy. Contrast enhancement<br />
can be seen at the margins <strong>of</strong> the tumor where it is aggressively<br />
invading the bone <strong>and</strong> in the surrounding s<strong>of</strong>t tissues<br />
(see Fig. <strong>47</strong>-122D). Low-grade chondrosarcomas are difficult<br />
to distinguish from benign enchondromas for both<br />
radiologists <strong>and</strong> pathologists, <strong>and</strong> the clinical symptom<br />
<strong>of</strong> pain is <strong>of</strong>ten the deciding factor. Although many<br />
enchondromas are asymptomatic <strong>and</strong> may be discovered<br />
incidentally when imaging the foot for other reasons, all<br />
chondrosarcomas are painful.<br />
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