Classification of primary bone tumours

Primary bone tumours can be classified according to the tissue of differentiation, using the WHO system. Tumours are classified as:

  • cartilage tumours (eg osteochondroma, chondrosarcoma)
  • osteogenic tumours (eg osteoid osteoma, osteosarcoma)
  • fibrogenic tumours (eg desmoplastic fibroma, fibrosarcoma)
  • fibrohistiocytic tumours (eg benign fibrous histiocytoma, malignant fibrous histiocytoma)
  • Ewing sarcoma/Primitive Neuroectodermal tumour (PNET)
  • Haemopoetic tumours (eg plasma cell myeloma)
  • Giant cell tumour of bone
  • Notochordal tumours (eg chordoma)
  • Vascular tumours (eg haemangioma)
  • Smooth muscle tumours (eg leiomyosarcoma)
  • Lipogenic tumours (eg lipoma, liposarcoma)
  • Neural tumours (eg neurilemmoma)
  • Miscellaneous tumours (eg adamantinoma)
  • Miscellaneous lesions (eg aneurysmal bone cyst)
  • Joint lesions (eg synovial chondromatosis)
For more information look here.
A simpler classification can also be helpful:
  • Cartilage forming tumours
  • Bone forming tumours
  • Fibrous tumours
  • Non-matrix producing tumours
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