Bone Tumours Flashcards

1
Q

most common malignant bone tumour?

A

osteosarcoma

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2
Q

what malignant bone tumour produces bone?

A

osteosarcoma

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3
Q

where /who does osteosarcoma affect?

A

mainly adolescents

arises in metaphyses of long bones, esp around knee

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4
Q

what disease can cause secondary osteosarcoma?

A

PAGETS DISEASE

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5
Q

what malignant tumour produces cartilage?

A

chondrosarcoma

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6
Q

associated with pain or lump presents in axial skeleton of the middle ages (45 mean age) tend to be around pelvis/prox femur?

A

chondrosarcoma

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7
Q

popcorn calcification on xray

A

chondrosarcoma

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8
Q

what malignant bone tumour has onion sign of x-ray?

A

Ewing’s sarcoma

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9
Q

round cell tumour of long bones and limb girdles. usually in adolscents

A

Ewing’s Sarcoma

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10
Q

associated with fever, raised inflammatory markers
warm swelling
malignant

A

Ewing’s sarcoma

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11
Q

treatment for primary bone tumours?

A

surgery to remove tumour and surrounding tissue

amputations to minimise recurrence risk

biopsy needed for histological diagnosis

chemo and radio if appropriate

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12
Q

name some primary malignant tumours which commonly metastasize to bone

A
breast
prostate
lunng
renal
thyroid
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13
Q

most common benign bone tumour

A

osteochondroma

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14
Q

produces a bony outgrowth on external surface with a cartilaginous cap

A

osteochondroma

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15
Q

you are referred an 11 year old boy who has a lump which has appeared on the outside of his thigh, just above the knee. It has grown in size. the lump is painless. the boy is otehrwise well.

on examination you feel a firm bony lump. the skin is soft and overlying tissue is healthy.

on xray there is a bony spur

A

osteochondroma

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16
Q

what is an enchondroma?

A

intramedullary and usually metaphyseal cartilaginous tumour caused by failure of normal enchondral ossification of growth plate

17
Q

soap bubble appearance on X ray

A

Giant cell tumour

18
Q

where do giant cell tumours usually occur?

A

around the knee and in distal radius

19
Q

what is fibrous dysplasia?

A

genetic mutation results in lesions of fibrous tissue and immature bone

20
Q

intense constant pain, worse at night

A

osteoid osteoma

21
Q

shepherd’s crook deformity

A

fibrous dysplasia

22
Q

what is osteoid osteoma?

A

small nidus of immature bone surrounded by intense sclerotic halo