Parosteal osteosarcoma mimicking osteochondroma: A radio-histologic approach on two cases

<p>Abstract</p> <p>Objective</p> <p>Parosteal osteosarcoma is a well-differentiated variant of osteosarcoma that affects the surface of the bone. The imaging pattern is very typical. We report two cases mimicking an osteochondroma, radiologically and histologically and propose an explanation.</p> <p>Material</p> <p>The review of 86 parosteal osteosarcomas of bone revealed this atypical pattern only once. A consultation case was received in the same time, and added to ours. Patients were 28 years old and 56 years old females. Imaging studies included two radiographs, two CTscans, one MRI examination and one bone scan and the results were compared to histology.</p> <p>Results</p> <p>On imaging, both lesions presented as ossified lobulated masses attached with a broad base to the underlying cortex. No radiolucent cleft separated the masses and the host bone and cortex continuity between the mass and the femur was seen, with medullary communication. The marrow of the mass had a different density and intensity compared to normal marrow. So, there were features of an osteochondroma (cortex and medullary continuity) and of a parosteal osteosarcoma (ossified marrow). Pathological assessment on the final specimen confirmed the presence of low-grade parosteal osteosarcomas, after an erroneous diagnosis of osteochondroma on the initial biopsy.</p> <p>Conclusions</p> <p>Parosteal osteosarcoma can be rarely confused with osteochondroma. A radiologic-pathologic correlation is essential. Cortex continuity is the most misleading imaging feature that may occur in parosteal osteosarcomas. A knowledge of this misleading pattern will help diagnose the lesion from the beginning.</p

Hydrogeology of continental southern Italy

This paper summarizes the results of a study focused on the hydrogeological characterization and recognition of groundwater resources in continental southern Italy, developed under the European INTERREG IIC Programme. The study reconstructed up-to-date scientific knowledge regarding aquifers, groundwater circulation schemes and groundwater resources exploitation in the administrative regions of southern Italy included in the Objective I (Molise, Campania, Basilicata, Puglia and Calabria). In this paper, the methodological approaches applied to synthesize and homogenize bibliographic data collected from the hydrogeological literature and to set a regional hydrogeological mapping are described. Results presented are three hydrogeological maps, 1:300,000 scale, showing hydrogeological units and groundwater flow schemes that are relevant in the regional hydrogeological context, and a brief description of principal types of aquifer and groundwater resources of continental southern Italy

Hydrogeology of continental southern Italy

This paper summarizes the results of a study focused on the hydrogeological characterization and recognition of groundwater resources in continental southern Italy, developed under the European INTERREG IIC Programme. The study reconstructed up-to-date scientific knowledge regarding aquifers, groundwater circulation schemes and groundwater resources exploitation in the administrative regions of southern Italy included in the Objective I (Molise, Campania, Basilicata, Puglia and Calabria). In this paper, the methodological approaches applied to synthesize and homogenize bibliographic data collected from the hydrogeological literature and to set a regional hydrogeological mapping are described. Results presented are three hydrogeological maps, 1:300,000 scale, showing hydrogeological units and groundwater flow schemes that are relevant in the regional hydrogeological context, and a brief description of principal types of aquifer and groundwater resources of continental southern Italy

Hydrogeology of continental southern Italy

<p>This paper summarizes the results of a study focused on the hydrogeological characterization and recognition of groundwater resources in continental southern Italy, developed under the European INTERREG IIC Programme. The study reconstructed up-to-date scientific knowledge regarding aquifers, groundwater circulation schemes and groundwater resources exploitation in the administrative regions of southern Italy included in the Objective I (Molise, Campania, Basilicata, Puglia and Calabria). In this paper, the methodological approaches applied to synthesize and homogenize bibliographic data collected from the hydrogeological literature and to set a regional hydrogeological mapping are described. Results presented are three hydrogeological maps, 1:300,000 scale, showing hydrogeological units and groundwater flow schemes that are relevant in the regional hydrogeological context, and a brief description of principal types of aquifer and groundwater resources of continental southern Italy.</p

The burden of the family company: Leopoldo Pirelli and his times

Leopoldo Pirelli was the third generation to run the family firm and a key character of Italian capitalism. He played a major role in Italy’s biggest merger and served as Head of the Committee for Reforms of the Italian Confederation of Industrialists. As head of Pirelli, he was appreciated by shareholders and by management. Though intent on internationalisation, he failed twice (the ‘Union’ with Dunlop and later with continental). After this second failure he resigned. A respected leader of the international business community, Pirelli failed at his most important task – transforming a family firm into a public company