Path Flashcards
epiphyseal bone tumors
chondroblastoma
giant cell
metaphyseal -centered in the cortex
Non-ossifyin fibroma
osteoid osteoma
diaphyseal - intrameduallry
ewings sarcoma
lymphoma ,myeloma
fibrous dysplasia
endochondroma
cortical diaphyseal ltumors
adamantinoma
osteoid osteoma
xray- benign and non growing lesions are well circumscribed and show what and provake focal
slerotic rim…. coritcal thickening
really fast growing lesions lack sclerotic rims but may show
cortical expansion
cloud like
osteoid
focal stippled or flocculent densities or rings or arcs of calcifications
chondroid
defect of epiphyseal plate
osteochondroma
pain relieved by aspirin - bc it produces prostaglandins ( night time)
osteoid osteoma
radiolucent focal (nidus) surrounded by dense reactive periosteal bone
osteoid osteoma
thin interconnected spicules of osteoid and woven bone rimmed by osteoblasts
osteoid osteoma
looks likes a osteoid osteoma
osteoblastoma
how to differentiate osteoblastoma, osteoid osteoma and osteosarcoma
malignant osteoid : lace like pattern, crazy arranged trabeculae or woven bone and highly pleomorphic
olliers disease
enchondroma -> can transform to chondosarcoma - 20-30%
marfucci syndrome
multiple enchondromas with hemangiomas -> 100%
seen in the fingers
enchondroma
irregular circumscribed, radiolucent epiphyseal lesion surrounded by reactive bone sclerosis
chondroblastoma
chicken wite calficiation
chondroblastoma
epiphyseal tumor that occurs before the growth plates close ( 10-20) can recur
chondroblastoma
jaffe-campanacci syndrome
multiple non-ossifying fibromas and cutaneous cafe au lait spots
in diaphysis and involves lateral portion of the bone
BOF
Mccune- albright syndrome
Fibrous dyplasia, cafe au lait, precocious puberty
mazabrauds syndrome
fibrous dysplasia in close proximity to soft tissue myxomas
inability to make mature lamellar bone
fibrous dysplasia
thin wavey spicules of woven bone - chinese letters , lack of osteoblastic rimming or osteoclastic activity, bland fibrous background
fibrous dysplasia
herringbone pattern
fibrosarcoma
blue cell tumor
PNET- Ewings
onion skin
ewings
storiform pattern -benign
benign fibrohistiocytoma
storiform pattern and honeycomb pattern of infiltration into surrounding adipose
dermatofibrosarcoma protuberans
most common sarcoma of adults
malignant fibrohistiocytoma -
cigar shaped nuclei
leiomyoma