Malignant Bone Tumours Flashcards
what is the most common malignant primary bone tumour
multiple myeloma
clinical presentation of primary bone cancer
persistent increasing pain - worse at night, not associated with movement
swelling/erythema over joint
palpable mass
pathological fracture
what is multiple myeloma
malignant disease of the plasma cells of the bone marrow
who does myeloma generally affect
older patients
clinical presentation of multiple myeloma
hypercalcaemia, anaemia, renal impairment and bone pain
what is osteosarcoma
malignant tumour which produces bone
usual spread of osteosarcoma
haematogenous
when do most cases of osteosarcoma present
adolescence and early adulthood
what is associated with elderly presentations of osteosarcoma
pagets
where do most osteosarcomas occur
around the knee: distal femur, proximal tibia
management of osteosarcoma
chemo + limb salvage
what is a chondrosarcoma
cartilage producing primary bone tumour
who tends to present with chondrosarcoma
40-75
where do chondrosarcomas tend to be found
pelvis or proximal femur
where do fibrosarcoma’s tend to occur
in abnormal bone