Bone Cancer Flashcards

1
Q

what is a osteochondroma

A

most common benign bone tumour

small growth on the surface of bone with a cartilinagous cap

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2
Q

what is an echondroma

A

intramedually cartilaginous benign tumour

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3
Q

what is a simple bone cyst

A

single cavity benign fluid filled cyst in bone

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4
Q

what is a aneurysmal bone cysts

A

cyst containing multiple blood/serum filled chambers

locally aggressive causing expansion and destruction

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5
Q

what is a giant cell tumour

A

locally invasive benign tumour consisting of multinucleate giant cells

commonly occur around knee and distal radius

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6
Q

what is fibrous dysplasia

A

genetic bone disease seen in adolescence involving lesions of fibrous tissue and immature bone

effected bone is wider with thin cortexes

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7
Q

what is an osteoid osteomalacia

A

small nidus (focus of infection) of immature bone surrounded by sclerotic halo

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8
Q

what are some red flags for metastatic bone cancer

A

constant bone pain - worse at night
systemic symptoms - weight loss, loss of appetite, fatigue
old people >60
young people <25

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9
Q

what signs are seen on x-ray from malignant primary bone tumours

A
  • cortical destruction
  • periosteal reaction (raised periosteum producing bone)
  • new bone formation
  • extension into the surrounding soft tissue envelope
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10
Q

what is a osteosarcoma

A

a malignant bone producing tumour
more common in young people
10% have lung metastasis

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11
Q

what is a Chondrosarcoma

A

cartilage producing malignant tumour
less common and less aggressive than an osteosarcoma
occurs in older patients

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12
Q

what is Ewing’s sarcoma

A

malignant tumour of primitive cells in the bone marrow

2nd most prevalent and have the poorest prognosis

associated with fever and warm swelling

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13
Q

characteristics of breast carcinoma bone mets

A

bony mets can be sclerotic or lytic

mean surgical 24-26 months

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14
Q

characteristics of prostate carcinoma bone mets

A

produces sclerotic mets

radio and hormone manipulation can reduce fracture risk

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15
Q

characteristics of lung carcinoma bone mets

A

usually gives rise to lytic bony mets

mean surgical 6 months

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16
Q

renal cell carcinoma bone mets characteristics

A

potentially large and very vascular lytic ‘blow out’ bony mets which bleed a lot with biopsy or surgery

mean survival 18 months