Musculoskeletal Neoplasms

Question 1

Describe musculoskeletal neoplasms

Answer 1

1. can be benign or malignant
2. may develop in soft tissue (muscle cartilage, nerve , collagen, etc) or bone
3. have same risk factors as other tumors
   - radiation
   - toxic chemicals
   - chemotherapeutic agents
   - and some genetic factors
4. Bone tumors can be osteoblastic or osteolytic

Question 2

what are primary tumors?

Answer 2

• tumors which have devleoped from or within tissue in a localized area
• none, cartilage, nerve, collagen, muscle etc
• may be benign or malignant

Question 3

What are signs and symptoms of musculoskeletal neoplasms?

Answer 3

1. pain
   - may be intense
   - not releaved by position change- big red flag
2. Night Pain- big red flag
3. swelling
4. fever
5. presence of a mass

Question 4

What is the treatment for musculoskeletal neoplasms?

Answer 4

1. Depending on type, radiation
2. chemotherapy
3. resection

Question 5

Why amputat musculoskeletal neoplasms?

Answer 5

• most common cause of amputation in children and young adults
• purpose is to remove all tissue in hopes of preventing metastasis

Question 6

What is the prognosis for musculoskeletal neoplasms?

Answer 6

• depending on type, location, and time of detection, survival rates vary from 3-5 yrs to full recovery

Question 7

What are examples of musculoskeletal tumors?

Answer 7

1. osteoid osteoma
2. osteoblastoma
3. osteosarcoma
4. Ewing’s Sarcoma
5. Carilagnious tumors

Question 8

What is osteoid osteoma?

Answer 8

tumor of osteoblasts

Question 9

What is osteoblastoma?

Answer 9

larger osteoblastic tumor, usually of the spine

Question 10

What is osteosarcoma?

Answer 10

malignant tumor of the bone

Question 11

What is Ewing’s Sarcoma?

Answer 11

Malignant bone tumor usually in pelvis and lower extremity

Question 12

What is enchondroma?

Answer 12

• cartilaginous tumor

- tumor of cartilage of metaphysis

Question 13

What is osteochondroma?

Answer 13

benign metaphysical neoplasm

cartilagnious tumor

Question 14

What is chondrosarcoma

Answer 14

malignant cartilage tumor

Question 15

What are secondary tumors?

Answer 15

• Tumors that originate in other organs of body and metastasize to mesculoskeletal system
• common sites of origin include breast cancer, lung cancer, kidney cancer, prostate cancer

Question 16

What are some therapeutic concerns with musculoskeletal neoplasms?

Answer 16

• malignancies are contraindication for most modalities
• bone cancers weakend bone and increase risk of pathological fractures
• notify supervising therapist of unusual patterns of pain