Multifocal osteogenic sarcoma in Paget's disease.
The most serious complication of Paget's disease is sarcomatous degeneration of pagetic bone. Multifocal sarcomatous degeneration occurs mainly in polyostotic Paget's disease. Multifocal Paget's sarcoma is uncommon and can arise in any site. We report two cases of synchronous multifocal sarcomatous degeneration. The two patients were elderly women (aged 77 and 86 years, respectively) who developed sarcomatous lesions concomitantly, in the first case report in left ilium, left tibia, and first lumbar vertebra and in the second case report in the skull, right ilium, and sacrum. Whether these cases are due to the simultaneous development of several primaries or to metastases from a single primary remains unclear.
Department of Bone and Joint Radiology, Lariboisière Teaching Hospital, Paris, France.
V
V
Vuillemin-Bodaghi
C
C
Parlier-Cuau
C
C
Cywiner-Golenzer
A
A
Quillard
G
G
Kaplan
J D
JD
Laredo
D000368:Aged; D000369:Aged, 80 and over; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology*; D002471:Cell Transformation, Neoplastic; D005260:Female; D006801:Humans; D009378:Neoplasms, Multiple Primary; D010001:Osteitis Deformans / Q000000981:diagnostic imaging / Q000473:pathology*; D012516:Osteosarcoma / Q000000981:diagnostic imaging / Q000473:pathology*; D014057:Tomography, X-Ray Computed