Benign tumours of the bone but locally aggressive Flashcards

1
Q

Radiolucent with increased density around the periphery

A

GCT

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2
Q

What is the cell of origin of GCT

A

osteoclast

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3
Q

who does GCT occur in

A

W>M 25-40s

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4
Q

where does GCT occur and symptoms

A

long bones

destruction of cortex and medullary and may expand into soft tissue

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5
Q

radiolucent with central density. lesion well circumscribes and may have surrounding sclerosis

A

osteoblastoma

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6
Q

what does osteoblastoma produce, prognosis and histology

A

osteoid and woven bone seen
self limiting
irregular bone and osteoid surrounded by osteoblasts
vascular stroma with pleomorphic spindle cells

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7
Q

what are the symptoms of osetblastoma and what does it present as

A

pain of long duration. swelling and tenderness

red tan in colour with haemorrhagic areas

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8
Q

increased uptake on bone scan

A

osteoblastoma

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9
Q

what tumour arises from notochord remnants

A

chordoma

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10
Q

where does chordoma occur

A

sacral region or base of skull. its a midline tumour

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11
Q

how does a chordoma grow and what are the symptoms

A

locally invasive and destructive
grows along a plane of least resistance such as a nerve root
can cause spinal symptoms

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12
Q

solitary midline lesions with bony destruction accompanying soft tissue mass - focal calcifications present half the time

A

chordoma

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13
Q

soft, blue-grey lobulated. gelatinous translucent areas and capsule present

A

chordoma

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14
Q

who do chordoma occur in

A

> 40s F>M

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