Nappi Section Flashcards

1
Q

What is the skeletal system made of?

A

The skeletal system is made of bones and cartilage.

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2
Q

What kind of tissues do skeletal cancers originate in?

A

Most tumors originate in the mesoderm, primitive mesenchyme, and ectoderm cells.

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3
Q

Where do tumors commonly occur in the skeletal system?

A

Tumors commonly occur in areas where rapid growth is occurring, such as the growth plate.

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4
Q

Which bones have the largest growth plates?

A

Most tumors occur in the distal femur and proximal tibia because they have the largest growth plates.

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5
Q

What is the diaphysis of a long bone?

A

The diaphysis of a long bone is the main shaft.

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6
Q

What are the epiphyses?

A

The epiphyses are two knob-like portions of the bone at either end.

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7
Q

What is the periosteum?

A

The periosteum is the hard covering on the bone.

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8
Q

What are common sites for osteosarcomas?

A

Common sites for osteosarcomas include the distal femur, proximal tibia, and proximal humerus.

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9
Q

What are common sites for chondrosarcomas?

A

Common sites for chondrosarcomas include the femur, shoulder girdle, and proximal humerus.

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10
Q

Where do malignant fibrous histocytomas (MFH) commonly occur?

A

Common sites for MFH or fibrosarcomas are long, tubular bones like the femur or tibia.

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11
Q

What are common sites for Ewing’s sarcoma?

A

Common sites for Ewing’s sarcoma include the lower half of the body in the diaphysis of the bone.

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12
Q

Where do metastatic tumors commonly occur?

A

Common sites for metastatic tumors include vertebral bodies, pelvic bones, and ribs.

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13
Q

What is the most common clinical presentation of bone tumors?

A

Pain is the most common clinical presentation of bone tumors.

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14
Q

Is lymphatic spread common for bone tumors?

A

Lymphatic spread is not common unless the tumor occurs in the trunk of the body.

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15
Q

Where do lower limbs and lower half of the trunk drain?

A

Lower limb and lower half of trunk drain to femoral nodes.

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16
Q

Where do upper limbs and upper half of the trunk drain?

A

Upper limb and upper half of trunk drain to axillary nodes.

17
Q

Where do skull and facial bones drain?

A

Skull and facial bones drain to neck nodes.

18
Q

What are some types of bone tumors?

A

Types of bone tumors include osteosarcomas, chondrosarcomas, fibrosarcomas, MFH, and Ewing’s sarcoma.

19
Q

Which bone tumor is the most common?

A

Osteosarcoma is the most common bone tumor.

20
Q

How do bone tumors commonly spread?

A

Bone tumors commonly spread through the blood to the lungs.

21
Q

What other organs may bone tumors spread to?

A

Bone tumors may spread to the bone, liver, or brain.

22
Q

What tumor commonly has skip metastasis?

A

Skip metastasis is common for osteosarcomas.