Tumor Flashcards
S100+
Chondroblastoma Eosinophilic granuloma Schwannoma MPNST Melanoma \+/- Neurofibromas Synovial sarcoma Clear cell sarcoma
Metaphyseal
Chondromyxoid fibroma
Chondrosarcoma
Most common primary malignant spine tumor
Chordoma
Keratin positive
Adamantinoma Chordoma Epitheloid sarcoma Synovial sarcoma CARCINOMAS
Ubiquitin specific protease USP6
ABC
Multiple enchondromas diseases
Ollier’s
Maffucci’s (+ angiomas, malignant transformation)
Vertebra plana (MELT)
Mets/Myeloma
EG + Ewing’s
Lymphoma + leukemia
Trauma + TB
Hand-Schuller-Christian disease
EG with skull and visceral lesions, diabetes insipidus, exophthalmos
Kids >3
Give CHEMO
Letterer-Siwe disease
Form of EG
FATAL (age <3)
CD99
Ewing’s
Other neuroendocrine tumors (PNET)
Staging for Ewing’s
Bone scan
BM biopsy
CT chest
Fibrodysplasia ossificans progressiva
Form of myositis ossificans
ACVR1 gene mutation
BMP4
Melorheostosis
Formation of new periosteal bone
More common in LE
Symptomatic tx
Multiple NOF disorder
Jaffe-Campanacci syndrome (+ MR, cafe au lait spots)
What can mimic NOF
Adductor magnus insertion avulsion
Fibrous dysplasia mutation
GS alpha protein ACTIVATING mutation
Increases cAMP
McCune-Albright syndrome
Poly-ostotic fibrous dysplasia
Coast of Maine spots (jagged edges)
Precocious puberty
Mazabraud syndrome
Poly-ostotic fibrous dysplasia + muscular myxomas
Medical treatments for GCT
Bisphosphonates
Denosumab
t(12;16) translocation
Myxoid liposarcoma (TLS-CHOP) Signet ring cells
MDM2/CDK4 biomarkers
Liposarcoma
Most common site of bone mets
T spine
When to get skeletal survey for stagings
Myeloma
Thyroid CA
Myeloma biomarker
CD38
Rhabdomyosarcoma staging
BM biopsy
CT chest
t(2:13) or (1:13) translocation
Rhabdomyosarcoma
Rhabdomyosarcoma fusion protein
Pax3 or Pax7-FKHR
Rhabdomyosarcoma biomarker
Desmin
Origin of osteochondromas
Perichondrial ring
Normal cartilage cap in osteochondromas
<2 cm