B- bone tumor 1 Flashcards

1
Q

Osteoid origin benign tumors

A

osteoid osteoma

osteoblastoma

osteoma osteoclastoma (giant cell)

bone island

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2
Q

osteoid origin malignant

A

osteosarcoma

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3
Q

cartilage origin benign

A

enchondroma

chondroblastoma

osteochondroma

chondromyxoid fibroma

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4
Q

cartilage origin malignant

A

chondrosarcoma

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5
Q

vascular tumors

A

hemangioma

aneurysmal bone cyst

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6
Q

blood transporting or blood forming elements- malignant

A

ewings

myeloma

lymphoma/leukemia

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7
Q

fibrous and miscellaneous tumors

A

pagets disease

fibrous dysplasia

fibroxanthmas

non ossifying fibroma

benign fibrous cortical defect

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8
Q

fibrous and misc. malignant

A

fibrosarcoma

malignant fibrous histiocytoma

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9
Q

fluid filled cystic lesion

A

unicameral bone cyst

aneurysmal bone cyst-contains vascular channels but looks cystic

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10
Q

cystic looking but not fluid filled

A

intraosseous lipoma

giant cell-dev from non bone connective tissue

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11
Q

most tumor and tumor like lesions are

A

benign

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12
Q

most malignant bone lesions are

A

secondary

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13
Q

most common primary malignancy of adult bone and the spine is

A

multiple myeloma

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14
Q

most metastatic lesion to bone arise from what primary sites

A

breast prostate lung kidney

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15
Q

most metastatic bone lesions are located in the _________ skeleton and are rare

A

axial rare distal to knee or elbow

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16
Q

primary malignancy of connective tissue

A

sarcoma

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17
Q

focal area of well localized destruction with complete border and clearly defined margins between the lesions and adjacent normal bone

A

geographic

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18
Q

destruction of local area with many tiny lytic lesiosn centrally and gradually fewer peripherally fading into more normal bone

A

permeative

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19
Q

multiple larger destructive areas with poorly defined margins and cortical destruction

A

motheaten

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20
Q

majority of metastatic lesions to the skeleton are

A

lytic

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21
Q

great imitators of bone disease

A

pagets disease fibrous dysplasia

22
Q

most common location for tumors to occur in long bones

A

metaphysis

23
Q

geographic lesions that expand cortex are more commonly associated with

A

benign histology beware of geo lesion without sclerotic margin or destroying cortex

24
Q

permeative and motheaten patterns are commonly associated with__________ lesions

A

malignant tumors

25
Q

permeative and motheaten patterns are associated with what type of process

A

aggressive

26
Q

pattern of bone destruction

type of process

A

permeative

aggressive

27
Q

description

type of process

A

solid, parallel

benign-formal function of healing

if no trauma indicatied could be infection

28
Q

description

type of process

A

solid

benign- normal healing

29
Q

description

type of process

A

sunburst/radiating

aggressive (osteoscarcoma)

30
Q

description

type of process

A

sunburst/radiating

aggressive (osteosarc)

31
Q

description

type of process

A

laminated/onion skin

aggressive (alt periods of bone destruction and production)

32
Q

internal archeitecture of lesion

what tissue

A

cartilage

33
Q

solid honogenously dense implies what tissue

this is a

A

bone

bone island

34
Q

well organized bone production and unfriendly

A

osteosarcoma

35
Q

multiple bones with sclerotic lesions in an older patient

A

blastic metastatic disease

pagets disease

36
Q

what do you look for in pagets disease

A

bone expansion

cortical thickening

coarse trabeculae

37
Q

solid well organized bone tissue may be seen with

this lesion is likely to be chronic and _____ because

A

osteochondroma

benign because pressure deformity

38
Q

what is this pattern

diagnosis?

what type of findings are these?

A

corduroy stripe

hemangioma

incidental

39
Q

pattern

DX

findings

A

corduroy

hemangioma

incidental

40
Q

pattern

dx

findings

A

corduroy

hemangioma

incidental

41
Q

empty looking lesions may be filled with?

A

blood/serous

low density tissue=fat, giant cell

42
Q

purely destuctive lesion like _________ also look empty

A

mets

43
Q

5 things ID this lesion as likely benign

A

pattern of destruction= geographic

cortex= expanded not destroyed

margin= sharp and sclerotic

perosteal rxn= none

effect on adjoining structure= chronic pressure deformity

44
Q

what tumors pain are eased with asprin

A

osteiod osteoma

45
Q

Three most common benign posterior arch tumors

A

aneurysmal bone cyst

osteoid osteoma

osteoblastoma

46
Q

marrow tumors

A

Ewings

non hodgkins/reticulum cell sarcoma

multiple myeloma

47
Q

vascular/connective tissue benign tumors

A

hemangioma

48
Q

vascular/ connective tissuemelignant tumors

A

fibrosarcoma

49
Q

notorcord reminant tumor

A

chordoma

50
Q

metastaticic tumors in bone

A

osteolytic mets

osteoblastic mets

mixed

51
Q

tumor like conditions

A

solitary bone cyts/ unicameral

aneurysmal bone cyst

nonossifying fibroma

fiborus dysplasia

Brown tumor of hyperparathyroidism

geods