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FORMAL EDUCATION BACKGROUND :
Sri Andreani Utomo
•Graduated from Faculty of Medicine, Airlangga University : 1984
•Obtained the specialist degree for Radiology, January 1997
•Obtained The Master Degree In Neurovascular Diseases, Paris Sud University and
a o n vers ty, e on a an , ovem er - ovem er .
PRESENT POSITION and MEMBERSHIP•. Neuroradiology Consultant
. , . , ,
Airlangga University, Surabaya, Indonesia.
•Foreign Relationship in Indonesian Radiological Society.•
Radiology.
•Member of The Asian-Oceanian Society in Neuroradiology and Head & Neck
Radiology
•Member of The Asian Musculoskeletal Society.•Member of Neuroradiology Team , Dr. Soetomo Hospital, Surabaya, Indonesia.
•Member of The Spinal Team(Pan Med Tulang Belakang) Dr. Soetomo Hospital,
Surabaya, Indonesia.
•Member of The Oncology Musculoskeletal Team (Pertumsi), Dr. Soetomo Hospital,Surabaya, Indonesia.
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Sri Andreani Utomo
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Tumor
Congenital Anomali Degenerative
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Plain Radography.
CT Scan. MRI.
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radiography
caused by a skeletal deformity or.
May reveal soft tissue calcification
a can sugges a spec c agnos s
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Plain Radio ra h
characteristic of a specificdiagnosis:
* Phleboliths within a
haeman ioma.
* Synovial
osteochondromatosis.
* Myositis ossificans.
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CT might hold a minor advantage
over MRI in diagnosis of soft tissue
.
CT has been replaced by MRI
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Pre op
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Post op
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Mr.Os. 23 yo with large tumor at dorsal right upper leg since 6 yrs. ago.
MRI: mass located intramuscular. X-ray: no bone lesion.
Pre o
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PA:
Soft tissue tumor 18 X 16 X 10 cm
Solid lobulated with
,
Hemorrhage & cystic
Degeneration------ MalHemangiopericytoma
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“Triple
D agnos s
FindingsFindings
PatholoPatholo
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AGRESIFITAS DARI LESI TULANG
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NON AGRESIF JINAK
25
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Jinak vs Ganasa s Ga as
..
..
periostealperiosteal
3.3.BesarnyaBesarnya
massamassa
ar nganar nganlunaklunak
26
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Jenis Destruksi
(3 jenis)
Benign/Mali nant
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28
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BATAS lesi
Destruksitulang
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Margins
geographic ill defined moth-eaten permeative
less aggressive more aggressive
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Matrix
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non a ressive
none smooth
aggressive lamellated (onion skinning)
sunburst / hair on end
o man s r ang e
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DIAGNOSIS PATOLOGI, harus melalui
serangkaian analisis yang melibatkan:
Agresifitas Agresifitas++
mur mur
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July 13, 2006
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Nov 15, 2006
Oct 17, 2006
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Jan 7, 2007
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Cuts section: widely necrotic areas admixed with adipose tissue and fragments of small bones.
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Bone fragment, calcified nodule, epitheloid cells and caseos necrosis.
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Multiple small hard tubercles containing Langhans giant cells.
Case 2
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Case 2
57 y.o / Female
C.C : Lump at the right shoulder
Gradually increased pain and decreased ROM
Onset : 1 year ago No history of trauma
Lab data noncontributory
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Post op
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Post op.
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Villonodular Synovitisillonodular Synovitis
Uncommon benign proliferative disorder of thesynov um w un nown cause
Mainly 2nd – 4th decade ( range 12 – 68 years)
Usually painless or only mildly painful
,Location : knee, ankle, hip, elbow, shoulder, tarsal
+ car al oint redominantl monoarticular side
Its diagnosis is often delayed because complaintand symptoms are non-spesific
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Destructive changes of the joint
Multiple lytic lesions
Joint narrowing
Soft tissue swelling around the joint
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Masses of synovial tissue as synovial proliferation
Joint capsular extension with effusion
es ruc on o e ar cu ar sur ace o ones
Predominantly low signal intensity on all
sequences
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Villonodular appearance of synovial
Hyperplasia of undifferentiated connective
and mononuclear cells
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Synovial osteochondromatosis
Synovial sarcoma
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T1FSE T2FRFSE T2GE
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Spina bifida apertaSpina bifida occulta
S ina Bifida A erta
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Myelocele
Myelomeningocystocele
Spina Bifida Occulta
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Meningocele
Spinal Lipoma
Li om elomenin ocele
Fibrolipomatosis of the filum
terminale Tethered cord
Dorsal dermal sinus
Non D sra hic S inal Malformation
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Congenital tumorsSpinal cysts
Syringomyelia
ongen ta stenos s o t e sp nacanal.
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Failure of Se mentationFailure of Formation
Failure of formation
Imaging Modalities
Myelography: The presence of congenital
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Myelography: The presence of congenital
myelogram.
bone
w e u wimaging for vertebral body abnormalities.
: as ecome a very use u mo a y
imaging for evaluating the presence or absence.
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M, 11 yo with torticolis
MRI
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40 yo M with block vertebrae and central canal stenosis
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Fracture dislocation
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Unfused vertebrae
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Non D sra hic S inal Malformations
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au a regress on
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T1 T2 T2 Fat Sat
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MRI T2 CT Axial
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Right hip Left hip
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6
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