osteocarcinoma Flashcards
signs of osteocarcinoma
-asymmetrical swelling
-dull, deep bone pain unresolved by analgesics
-pain wake child up at night
-reduced ROM
-swollen, warm, tender
-insidious onset
is osteocarcinoma more common in males than females?
males
what bones are usually affected by osteocarinoma?
long bone, distal femur
where does osteocarcinoma normally spread to?
lungs
what diagnostic test do you expect with osteocarcinoma
xray, CAT scan, MRI
what abnormality do you usually see in an X-ray?
starburst
what is the most common malignant type of bone cancer in children?
osteocarcinoma
when are children most at risk for osteocarcinoma?
adolescents at the peak of growth spirt (13-16 years old)
risk factors for osteocarcinoma
-possible genetic predisposition
-occurs slightly more often in males
-issues related to bone growth
-prior irradiation
-chemotherpy
biggest concern with osteocarcinoma
-Mets
-recurrence
what are you expecting for in joint?
-symmetry
-swelling/redness
what are you palpating for?
-tenderness
-warmth
-ROM
Nursing assessment of osteocarcinoma
-Health hx: when pain, limp, or limitation of motion was first noticed
-dull pain may be present for several months, eventually progressing to limp or gait changes
-inspect affected limb for erythema and swelling
-palpate affected area for warmth and tenderness and to determine size of soft tissue mass, if also present
-monitor for metastasis
lab tests for osteocarcinoma
-elevated ESR
treatment of osteosarcoma
-surgical removal of tumor (prefer limb-sparing surgery)
-chemotherapy
