Preface to the First Edition

This large collection of nearly 5000 digital images relating

the subject of musculoskeletal oncology is a sequel to the

1800 Kodachrome slide collection that I produced in 1967 as a

teaching aide for my students of orthopedic surgery at UCSF.

Over the past 35 years since then my ever growing student

population and my many friends and fellow members of the

American Musculoskeletal Tumor Society and the International

Society of Skeletal Radiology have encouraged me to collect

once again from my past 35 years of clinical experience as an

orthopedic oncologist in the San Francisco Bay area. Most of

the cases in this atlas are taken directly from my practice of

orthopedics at UCSF and the Kaiser Foundation Hospital

system of Northern California. Many other cases were direct

referrals from my many friends in the field around the world.

Most of the macro section slides were given to me by Dr Howard

Hatcher and reflect his great experience while at the University

of Chicago back in the 1950’s.

A very special thanks goes to my wife MaryBee and my

research assistant at UCSF Elizabeth Jameson who taught me

everything I know about computers and helped me edit the

text that goes with the cases placed on the internet.

Another special thanks goes to my many friends in the

BIOMET CORPORATION of Warsaw Indiana who’s large

educational grant made the production of this atlas possible.

Jim Johnston

September 2005

In this second edition to the first Atlas completed in Sept.

2005, I have made several helpful improvements. The first

improvement was to break up the original eight volume atlas

into seventeen sections to dramatically increase the speed of

bringing your images up on your computer screen. The second

improvement was to place a complete discussion beneath each

digital image that can be viewed while in the editing mode of

your power point program. And the third improvement was to

add one hundred new clinical cases marked with decimal point

case numbers and taken from the combined experience of

myself and Dr Andy Fang working with a base pool of 3.5

million Kaiser Foundation Hospital patients in Northern

California.

Jim Johnston

July 2007

Preface to the Second Edition

Preface to the Third Edition

Two more years have flown by since the last edition

and I have continued to add 100 new cases each year

which means 200 new cases have been added to this

third edition that can be recognized by a decimal point

in the power point CD program case numbers. These

new cases will be added following a similar diagnostic

case or in the case of pseudotumors, they will be placed

following a tumor case that it looks like. Please note that

the program on the internet (www.tumor library.com) has

not been upgraded with new cases because of the expense

involved doing so. I hope you all enjoy my work of love.

Jim Johnston March, 09

Preface to the Fourth Edition

In this fourth edition I have finally added three completely

new sections on infectious diseases of bone, metabolic bone

diseases and congenital disorders. This includes the slides

that I put out in 1967 as a teaching set for resident training

plus an update and includes the great slides taken from

Dr. Howard Steele’s collection on orthopedic dysplasias.

In addition there are another 100 new cases from the last

two year experience working with Dr. Andy Fang at Northern

California Kaiser. This brings the collection up to 7000

digital images with 2.5 gigabits of memory. Hope you will

enjoy the new sections of none neoplastic conditions.

Jim Johnston MD

Sept. 2010

Preface to the Fifth Edition

With this fifth edition I have now reached my original goal to finalize

a complete comprehensive teaching atlas on orthopedic pathology that

includes 5000 digital images of musculoskeletal neoplasms and the more

recent addition of 3000 images covering none neoplastic pathology

including infections, metabolic bone diseases, congenital defects and

now this year I have included the final section on arthropathies, osteo-

necrosis and osteochondroses a total of 2.6 GBs of memory. For the

past ten years Dr. Andy Fang of Kaiser South San Francisco has played

a major role in the addition of new cases that can be identified by a

decimal point case number in the neoplastic sections vol. 1 through 18.

In the immediate future we are working on a new PDF version of this

current power point atlas with a word search capability. The original

neoplastic vols 1-18 are still on the internet(www.tumorlibrary.com)

and we are considering an upgrade to the current fifth edition.

Jim Johnston MD

Sept. 2011

http://www.tumorlibrary.com/

Contents for Volume 1

Osteoid osteoma--------------------------------Case 1-50

Osteoblastoma----------------------------------Case 51-94

Osteofibrous dysplasia-------------------------Case 95-101

Ossifying fibroma of jawbone----------------Case 102-107

Volume 2

Classic osteosarcoma-----------------Case 108-9 & 451-490

Bone forming pseudotumors------Case 491-498

Volume 3

Osteosarcoma Variants

Hemorrhagic osteosarcoma------------Case 110 & 499-503

Parosteal osteosarcoma-----------------Case111 & 504-510

Periosteal osteosarcoma----------------Case 112 & 511-517

Pagetic sarcoma-------------------------Case 113 & 518-528

Low grade intramedullary OGS------Case 114 & 528.1-530

Radiation induced OGS---------------Case 115 & 531-537

Multicentric osteosarcoma------------Case 116 & 538-542

Soft tissue osteosarcoma--------------Case 118 & 543-545

Intracortical osteosarcoma------------Case 119 & 546-547

Volume 4

Benign Chondroid Tumors

Enchondroma---------------------------Case 120 & 548-567

Multiple enchondromatosis-----------Case 568-583

Maffucci’s syndrome------------------Case 584-586

Periosteal chondroma------------------Case 121 & 587-607

Osteochondroma-----------------------Case 122 & 608-624

Multiple hereditary exostosis---------Case 625-631

Chondroblastoma-----------------------Case 123 & 632-646

Chondromyxoid fibroma--------------Case 124 & 647-651

Volume 5

Malignant Chondroid Tumors

Primary central chondrosarcoma----------Case 125 & 652-678

Secondary peripheral chondrosarcoma---Case 126 & 679-686

Dedifferentiated chondrosarcoma---------Case 127 & 687-689

Clear cell chondrosarcoma-----------------Case 128 & 690

Mesenchymal chondrosarcoma------------Case 129 & 691

Cartilaginous pseudotumors--------------- Case 692-699

Volume 6

Fibrous Tumors of Bone

Fibrous cortical defects------------Case 130-131 & 700-702

Non-ossifying fibroma-------------Case 132-133 & 703-713

Fibrous dysplasia

Monostotic------------------------Case 134-135 & 714-748

Polyostotic------------------------Case 136 & 749-757

Mazabraud syndrome-----------Case 758-759

Albright’s disease---------------Case 137 & 760-764

Desmoplastic fibroma-------------Case 138-139 & 765-771

Fibrosarcoma-----------------------Case 140-141 & 772-783

Malignant fibrous histiocytoma--Case 142-143 & 784-800

Leiomyosarcoma-------------------Case 144-5

Volume 7

Vascular Tumors of Bone

Hemangioma---------------------Case 146-151 & 801-832

Cystic angiomatosis-------------Case 152

Hemangiomatosis----------------Case 833-834

Lymphangiomatosis-------------Case 835-838

Gorham’s disease----------------Case 153 & 839-840

Hemangioendothelioma---------Case 154-158 & 841-847

High grade angiosarcoma-------Case 159 & 848-851

Hemangiopericytoma------------Case 160-162 & 852-855

Lipid Tumors of Bone Parosteal lipoma------------------Case 163-165 & 859-60

Intramedullary lipoma-----------Case 166-168 & 856-858

Intracortical lipoma--------------Case 860.3

Volume 8

Round Cell Tumors of Bone

Ewing’s sarcoma-----------------Case 169-175 & 861-900

Large cell lymphoma------------Case 176-178 & 901-933

Hodgkin’s lymphoma-----------Case 179-180 & 934-936

Leukemia-------------------------Case 181 & 937-944

Plasma cell tumors

Solitary plasmacytoma-------Case 182-185 & 946-957

Multiple myeloma------------Case 186-188 & 958-976

Metastatic neuroblastoma------Case 189 & 977-983

Volume 9

Bone cysts

Unicameral bone cyst--------Case 190-197 & 984-996

Aneurysmal bone cyst-------Case 198-204 & 997-1039

Epidermoid cyst--------------Case 205-206

Volume 10 Giant cell tumor of bone-------Case 207-213 & 1040-1093

Volume 11 & 12

Metastatic carcinoma----------Case 225-248 & 1107-1169

Volume 13

Adamantinoma----------------Case 214-218 & 1094-1098

Chordoma----------------------Case 219-224 & 1099-1106

Histiocytoses

Eosinophillic granuloma--Case 417-444

Hand-Schiller-Christian --Case 445-446

Letter Siwe disease--------Case 447-450

Sinus histiocytosis---------Case 450.1

Rosai-Dorfman’s disease

Volume 14

Fibrous Soft Tissue Tumors

Desmoid tumors---------------------Case 250-253 & 1170-1

Aponeuratic fibroma----------------Case 1172-1173

Infantile fibromatosis---------------Case 254

Elastofibroma------------------------Case 255

Nodular fascitis----------------------Case 256

Plantar fibroma-----------------------Case 257

Malignant fibrous histiocytoma----Case 258-265 &1174-75

Low grade fibromyxoid sarcoma---Case 1178

Fibrosarcoma--------------------------Case 266-7 & 1179-1181

Dermatofibrosarcoma protuberans-Case 268-269

Leiomyosarcoma----------------------Case 1182

Volume 15 Lipid Soft Tissue Tumors

Superficial lipomas-------------Case 1183

Intramuscular lipomas----------Case 270-274 & 1184-1190

Spindle cell lipomas------------Case 275-276

Angiolipomas--------------------Case 277-278 & 1191-1196

Ossifying lipomas---------------Case 1196.1-1196.3

Myxolipomas--------------------Case 279

Diffuse lipomatosis-------------Case 280

Lumbosacral lipoma------------Case 281

Hibernoma-----------------------Case 1197

Liposarcoma

Well differentiated------------Case 283 & 1198

Myxoid-------------------------Case 285-289 & 1199-1201

Round cell---------------------Case 290

Pleomorphic-------------------Case 291 & 1202-1203

Vascular Soft Tissue Tumors

Hemangioma---------------------Case 292-298 & 1204-1211

Hemangiomatosis---------------Case 299-300 & 1212

Lymphangioma------------------Case 301-304 & 1213

Glomus tumor-------------------Case 305-307

Hemangiopericytoma-----------Case 308-311

Kaposi’s sarcoma----------------Case 312-313

Angiosarcoma--------------------Case 314

Volume 16

Neurogenic soft tissue tumors

Neurilemoma----------------Case 315-321 & 1214-1220

Solitary neurofibroma--------Case 322-326

Neurofibromatosis------------Case 327-338 & 1221-1229

Malignant schwannoma------Case 339-344 & 1230-1234

Rhabdomyosarcoma------------Case 345-349

Alveolar soft part sarcoma-----Case 350-353

Synovial sarcoma---------------Case 354-363 & 1235-1242

Granular cell tumor-------------Case 1234.1

Melanoma------------------------Case 1234.2

Volume 17

Chondroid tumors

Synovial chondromatosis---------Case 364-370 & 1243-5

Juxtaarticular chondroma---------Case 371-377 & 1246-7

2ndary synovial chondromatosis-Case 378-382 & 1248

Myxoid chondrosarcoma----------Case 383-385

Epithelioid sarcoma------------------Case 386-389

Soft tissue Ewing’s sarcoma--------Case 390-392

Clear cell sarcoma--------------------Case 393-394

Myositis ossificans-------------------Case 395-405

Pigmented villonodular synovitis---Case 406-416 & 1249

Intramuscular myxoma---------------Case 1258

Ganglion cyst--------------------------Case 1259-60

Soft tissue lymphoma-----------------Case 1261

Metastatic CA to soft tissue----------Case 1262-63

Volume 18

Orthopedic Infections

Hematogenous osteomyelitis

Pyogenic spondylitis

Pyarthrosis

TBc infections & Sarcoidosis

Leprosy

Luetic infections

Viral osteomyelitis

Fungus infections

Gas forming infection

Volume 19

Metabolic Bone diseases Calcium, phosphate metabolism

Primary hyperparathyoidism

Hypo & pseudohypoparathyoidism

Rachitic syndromes and renal osteodystrophy

Scurvy

Gaucher’s disease

Gout and pseudo gout

Alkaptonuria - Ochronosis

Osteoporosis

Thyroid disorders

Paget’s disease

Misc.

Volume 20

Congenital Defects (Part 1)

Dysplasias classification

Epiphyseal defects

Stippled epiphyses

Multiple epiphyseal dysplasia MED tarda

Spondyloepiphyseal dysplasia SED tarda

Metatrophic dwarfism

Volume 21


Mucopolysacharidoses

Diastrophic dwarfism

Tarsal epiphyseal aclasia

Achondroplasia

Hypochondroplasia

Achondrogenesis & Thanatophoric dwarfism

Volume 22

Congenital Defects (Part 3) Ellis VanCreveld syndrome

Metaphyseal dysplasias (Jansen’s & Schmid)

Osteopetrosis

Craniometaphyseal dysplasia (Pyles disease)

Osteopathia striata

Osteopoikilosis

Melorheostosis

Engelman’s dysplasia

Pyknodysostosis

Marfan’s Syndrome

Ehlers-Danlos Syndrome

Volume 23

Congenital Defects (Part 4) Osteogenesis Imperfecta

Cleidocranial dysplasia

Progeria

Proximal femoral focal deficiency disorders

Coxa vara & congenital bowing of femur

Congenital anemias - SS disease

Volume 24


Aperts

Hind foot defects

Tibial pseudarthrosis

Mesomelic dwarfism (Madlung’s)

Misc.

Iliac horn syndrome

Klippel Feil & Sprengel’s deformity

Mongolism-Down’s Syndrome

Arthrogryposis

Congenital absence of bone

Hand deformities

Congenital genu recurvatum

Volume 25

Arthritis

Osteonecrosis & Osteochondroses

Rheumatoid arthritis

Ankylosing spondylitis

Psoriatic arthritis

Reiter’s syndrome

Pediatric seronegtive arthritis (Still’s disease)

Scleroderma & dermatomyocytis

Hemophiliac arthropathy

PVNS (see Vol 17)

Degenerative osteoarthritis & spondylitis

Neuropathic arthropathy

Gout and pseudogout (see Vol 19)

Infectious arthropathies (see Vol 18)

Osteonecrosis & Osteochondroses

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