title: MR imaging of transarticular skip metastases from distal femoral osteosarcoma.
abstract: We describe a case in which magnetic resonance (MR) imaging of a distal femoral osteosarcoma showed transarticular skip metastases in the proximal tibia. These lesions were not found by conventional radiography, bone scintigraphy, or CT. Since detection of transarticular skip metastases has an important influence on surgical management, MR imaging of metaphyseal osteosarcomas should always include the bone on the opposite side of the joint.
authors.affiliation: Department of Diagnostic Radiology, University of Kansas Medical Center, Kansas City 66103.
authors.forename: L H
authors.initials: LH
authors.lastname: Wetzel
authors.forename: G D
authors.initials: GD
authors.lastname: Schweiger
authors.forename: E
authors.initials: E
authors.lastname: Levine
mesh_terms: D000328:Adult; D001859:Bone Neoplasms / Q000175:diagnosis / Q000556:secondary*; D005260:Female; D005266:Femoral Neoplasms / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging; D009361:Neoplasm Invasiveness; D012516:Osteosarcoma / Q000175:diagnosis* / Q000556:secondary; D013977:Tibia / Q000473:pathology*