TUMORS Flashcards
10-25
Most commonly found in diaphysis of long bones
Ewing’s sarcoma
Permeative lesion that causes a multi-paralleled onion skin (laminated) type of periosteal reaction
Bone expansion
Codman’s triangle
Saucerization
Ewing’s sarcoma
M/c malignancy found in children
Osteosarcoma
10-30
Osteosarcoma
Labs osteosarcoma
Increased alkaline phosphatase
Special test osteosarcoma
Bone scan
Chondrosarcoma age
> 40
Fibrosarcoma age
> 40
Encapsulated Short zone of transition Geographic lesion Incidental findings No labs Refer to orthopedist
Benign bone tumors
Benign bone tumorsUsually asymptomatic except
Osteoid osteoma
Skeletal pain worse at night Unexplained weight loss Cachexia Long zone of transition Non-encapsulated Permeative pattern of destruction Refer to oncologist
Malignant bone tumors
Bone pain
Older
Malignant bone tumors
Grows from the center outward
<20
Diaphyseal/metaphyseal location
Concentric/centrally located
Unicameral bone cyst (UBC)
UBC aka
Simple bone cyst (SBC)
Associated with fallen fragment sign
Fluid filled tumor
Always symmetrical
Extends cortex to cortex
Unicameral bone cyst
Simple bone cyst
<20
Diaphyseal/metaphyseal location
Eccentrically located
Expands bone
ABC
ABC
Aneurysmal bone cyst
Blood filled tumor (blood spongy filled)
Associated with blister of bone or finger in balloon appearance
Asymmetrical
Aneurysmal bone cyst (ABC)
Giant cell tumor aka
GCT
Osteoclastoma
Knee
Wrist
Sacrum
GCT
Epiphyseal/metaphyseal location
20-40
Giant cell tumor
20% of the time quasi-malignant
Associated with soap bubble appearance (saponaceous)
GCT
Epiphyseal/metaphyseal location
<20
Open growth plates
Chondroblastoma
Small fibrous tumor that affects the metaphysis of the bone
Don’t expand bone
Under 8 years of age
Under 2 cm
Fibrous cortical defect