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Bone Formation by Endochondral Ossification01:24

Bone Formation by Endochondral Ossification

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Bone formation, or ossification, begins around the sixth to seventh week of embryonic development. Most bones develop from a cartilaginous template through the process of endochondral ossification. Cartilage formation begins when clusters of mesenchymal cells differentiate into chondrocytes. These chondrocytes proliferate rapidly and secrete an extracellular matrix that becomes encased in a membrane called the perichondrium. The resulting cartilage model provides a template that resembles the...
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Tumor Progression02:07

Tumor Progression

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Tumor progression is a phenomenon where the pre-formed tumor acquires successive mutations to become clinically more aggressive and malignant. In the 1950s, Foulds first described the stepwise progression of cancer cells through successive stages.
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
7.5K
Bone Disorders01:29

Bone Disorders

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Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
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Cranial and Spinal Meninges01:19

Cranial and Spinal Meninges

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The cranial and spinal meninges are complex protective structures surrounding the central nervous system (CNS), consisting of the brain and spinal cord. These meninges consist of the dura mater, the arachnoid mater, and the pia mater. They protect the CNS, provide structural support, and aid in circulating cerebrospinal fluid (CSF).
Cranial Meninges
These meningeal layers cover the cranium. The dura mater is the outermost layer of cranial meninges. It is a thick and durable membrane of dense...
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Growth of Cartilage and Bone Tissue01:27

Growth of Cartilage and Bone Tissue

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Chondrocytes form a temporary cartilaginous model by dividing and secreting a thick gel-like extracellular matrix. Once the chondrocytes undergo programmed cell death, osteoblasts enter the site of the cartilaginous model. The process of replacing the temporary cartilaginous model with bone in an ordered manner is called endochondral ossification. In endochondral ossification, not all of the cartilage is replaced by bone tissue. Some cartilage that performs a protective and supportive function...
4.4K
Mesenchymal Stem Cells01:19

Mesenchymal Stem Cells

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Mesenchymal stem cells (MSCs) are adult stem cells that can differentiate into most connective tissue cell types, except for hematopoietic cells, depending upon the source of MSCs. For example, bone-marrow-derived MSCs (BM-MSCs) can differentiate into osteocytes, hepatocytes, and pancreatic and neuronal cells. MSCs can be isolated from various sources such as bone marrow, placenta, adipose tissue, teeth, and Wharton’s jelly, a gelatinous substance in the umbilical cord. The ease of their...
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Related Experiment Video

Updated: Feb 17, 2026

Surgical Treatment of an Endolymphatic Sac Tumor
04:34

Surgical Treatment of an Endolymphatic Sac Tumor

Published on: May 26, 2023

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Chordomas.

N Sundaresan

    Clinical Orthopaedics and Related Research
    |March 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Chordomas are rare malignant bone tumors. Optimal treatment involves wide local excision for sacral tumors and anterior resection for vertebral lesions, aiming for improved survival rates.

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    Visualization of Chondrocyte Intercalation and Directional Proliferation via Zebrabow Clonal Cell Analysis in the Embryonic Meckel’s Cartilage
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    Visualization of Chondrocyte Intercalation and Directional Proliferation via Zebrabow Clonal Cell Analysis in the Embryonic Meckel’s Cartilage
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    Visualization of Chondrocyte Intercalation and Directional Proliferation via Zebrabow Clonal Cell Analysis in the Embryonic Meckel’s Cartilage

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    Area of Science:

    • Orthopedic Oncology
    • Skeletal Radiology
    • Surgical Pathology

    Background:

    • Chordomas represent 1-4% of primary malignant bone tumors.
    • They predominantly affect the sacrum (50%), skull base (35%), and vertebrae (15%).
    • Peak incidence occurs in the fifth to seventh decades, with a male predominance.

    Purpose of the Study:

    • To review the characteristics, diagnosis, and treatment of chordomas.
    • To highlight challenges in early clinical diagnosis due to nonspecific symptoms.
    • To discuss current and potential future therapeutic strategies.

    Main Methods:

    • Review of radiographic and computed tomography (CT) findings.
    • Analysis of recommended surgical approaches for different tumor locations.
    • Evaluation of the efficacy of conventional and emerging treatment modalities.

    Main Results:

    • Nonspecific radiographic signs include vertebral body destruction and reactive sclerosis; calcification is common in sacral tumors.
    • CT often reveals extensive anterolateral soft-tissue masses.
    • Conventional radiation and chemotherapy show limited efficacy.

    Conclusions:

    • Optimal surgical management includes en bloc resection for sacral chordomas and anterior vertebral body resection for vertebral lesions.
    • Early diagnosis and effective surgical therapy are crucial for improving outcomes.
    • Future innovative therapies may enhance treatment efficacy, with a 5-year disease-free survival goal of 30-50%.