Bone tumours Flashcards
When do bone tumours occur?
Primary bone tumours are rare after the 3rd decade, although metastases are relatively common after 3rd decade
What is the presentation of a bone tumour?
- Pain
- swelling
- tenderness
- Routine X-ray
What are the causes of benign bone tumours?
neoplastic, developmental, traumatic, infectious, or
inflammatory
What are causes of malignant bone tumours?
- genetic
- dysplasias eg paget’s disease
What are the types of primary bone tumours?
- benign active
- benign aggressive
- malignant bone
What is the most common malignant tumour?
- osteosarcoma (hallmark is production of malignant osteoid)
- usually 10-30 years old
- usually presents in long bones near growth plates
What are the most common secondary causes of bone tumours ?
metastases from breast, prostate lung or kidney (thyroid)
What investigations do you do for bone tumours?
- bloods
- CT
- X-ray
- Bone scan
- Bone biopsy
DDx?
Primary tumour: the other types of bone tumour
Secondary tumour: metastases or myeloma.