title: Case report 827: Miliary osteosarcomatosis.
abstract: We presented the case of a 26-year-old woman with a blastic, miliary form of osteosarcomatosis involving the axial skeleton, skull, and long bones to the elbow and knee joint regions who subsequently developed hypocalcemic tetany. Radiologically the lesions mimicked the spread of breast carcinoma, and because of the distribution of the lesions we surmised that the spread was by means of Batson's vertebral plexus of veins. The literature on multiple osteosarcomas was reviewed and an updated clinical subclassification of patients with multiple skeletal osteosarcomas presented.
authors.affiliation: Department of Orthopedic Oncology, Hospital of The Good Samaritan, Los Angeles, California 90017.
authors.forename: V
authors.initials: V
authors.lastname: Ippolito
authors.forename: J M
authors.initials: JM
authors.lastname: Mirra
authors.forename: A
authors.initials: A
authors.lastname: Fedenko
authors.forename: E W
authors.initials: EW
authors.lastname: Brien
authors.forename: P
authors.initials: P
authors.lastname: Rosen
authors.forename: L
authors.initials: L
authors.lastname: Chap
mesh_terms: D000328:Adult; D001859:Bone Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D001842:Bone and Bones / Q000000981:diagnostic imaging / Q000473:pathology; D005260:Female; D050723:Fractures, Bone / Q000000981:diagnostic imaging; D006801:Humans; D007085:Ilium / Q000000981:diagnostic imaging / Q000293:injuries; D012516:Osteosarcoma / Q000000981:diagnostic imaging* / Q000473:pathology; D011859:Radiography