Benign tumours of bone Flashcards

1
Q

cartilage capped bony projection on external surface of bone containing a marrow cavity that is continuous with the underlying bone

A

osteochondroma

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2
Q

what age do osteochondromas occur in. where. symptoms. rx

A

under 20
near epiphyses of long bones
pain and irritation despite being benign
surgical removal

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3
Q

chondrocytes with small round pyknotic nuclei inside hyaline cartilage

A

chondroma aka enchondroma

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4
Q

benign hyaline cartilage tumour arising in medullary cavity of bones of hands and feet

A

chondroma

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5
Q

what are the different kinds of chondroma

A

if single then just chondroma

if multiple then can be olliers disease or maffuccis disease

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6
Q

presentation of olliers disease. FH? malignant risk?

A

unilateral and involving extremity
not familial or hereditary
malignant transformation is 10-25%

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7
Q

presentation of maffuccis. malignant?

A

multiple endochondromas with soft tissue and visceral haemongiomas
greater risk of malignant transformation compared to olliers

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8
Q

core is vascular osteoid tissue and peripheral zone is sclerotic bone

A

osteoid ostoma

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9
Q

who does osteoid stoma occur in and where

A

young adults and children. M>W

femur, tibia, hands, feet, spine

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10
Q

presentation and treatment of osteoid ostoma

A

dull pain worse at night. relieved within 20-30 mins by NSAIDs or aspirin
resolves in 33 months without treatment

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11
Q

what kind of tumour is chondroblastoma, who and where

A

cartilage tumour with an aggressive coarse
teens
epiphyses of long bones

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12
Q

what kind of tumour is chondroblastoma, who and where

A

cartilage tumour with an aggressive coarse
teens
epiphyses of long bones

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13
Q

chondrocytes with small round pyknotic nuclei inside hyaline cartilage

A

chondroma aka enchondroma

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14
Q

benign hyaline cartilage tumour arising in medullary cavity of bones of hands and feet

A

chondroma

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15
Q

what are the different kinds of chondroma

A

if single then just chondroma

if multiple then can be olliers disease or maffuccis disease

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16
Q

presentation of olliers disease. FH? malignant risk?

A

unilateral and involving extremity
not familial or hereditary
malignant transformation is 10-25%

17
Q

presentation of maffuccis. malignant?

A

multiple endochondromas with soft tissue and visceral haemongiomas
greater risk of malignant transformation compared to olliers

18
Q

core is vascular osteoid tissue and peripheral zone is sclerotic bone

A

osteoid ostoma

19
Q

who does osteoid stoma occur in and where

A

young adults and children. M>W

femur, tibia, hands, feet, spine

20
Q

presentation and treatment of osteoid ostoma

A

dull pain worse at night. relieved within 20-30 mins by NSAIDs or aspirin
resolves in 33 months without treatment

21
Q

spherical well defined osteolytic foci which can erode into joints and its cell borders have chicken wire calcification

A

chondroblastoma

22
Q

what kind of tumour is chondroblastoma, who and where

A

cartilage tumour with an aggressive coarse
teens
epiphyses of long bones

23
Q

what is a simple bone cyst and why does it arise

A

single benign fluid filled cavity

growth defect

24
Q

what are aneurysmal bone cysts and what are some of the symptoms

A

lots of chambers filled with blood or serum due to arteriovenous malformation
cortical expansion and painful

25
Q

what is shepherds crook deformity

A

proximal femur angulated due to fibrous dysplasia

26
Q

who does fibrous dysplasia occur, what does the bone look like and what is the treatment

A

adolescents
wide with thinner cortisol
bisphosphonates

27
Q

brodies abscess associated with

A

subacute osteomyelitis

28
Q

brown tumours associated with

A

hyperparathyroidism