๐‘ท๐’“๐’Š๐’Ž๐’‚๐’“๐’š ๐’ƒ๐’๐’๐’† ๐’•๐’–๐’Ž๐’๐’–๐’“๐’” Flashcards

(32 cards)

1
Q

What are primary bone tumors?

A

Tumors that develop from bone cells when they divide uncontrollably

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Name 4 types of bone cells that can lead to primary bone tumors.

A

Osteocyte, osteoblast, osteoclast, chondrocyte/chondroblast

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

List 3 risk factors for primary bone tumors.

A

Genetic disorders (e.g., Li-Fraumeni syndrome), Pagetโ€™s disease, radiation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the 3 main classification methods for bone tumors?

A

Clinical (benign vs malignant), histology (based on cell origin), radiological (extent of spread)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the malignant counterpart to osteoid osteoma?

A

Osteosarcoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Describe the key characteristics of osteoid osteoma.

A

โ™ฆ๏ธBenign bone lesion which is small but very painful & relieved by anti-inflammatories

โ™ฆ๏ธMostly occurs in the proximal femur

โ™ฆ๏ธDiaphyseal in location

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Where does osteoid osteoma most commonly occur?

A

Proximal femur

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the key difference between osteoblastoma and osteoid osteoma?

A

โ™ฆ๏ธOsteoblastoma is larger and more aggressive

โ™ฆ๏ธCommonly occurs in the spine

โ™ฆ๏ธNot relieved by aspirin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What symptom is characteristic of osteoblastoma that differentiates it from osteoid osteoma?

A

Dull pain not relieved by aspirin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Describe osteoclastoma (Giant Cell Tumor).

A

โ™ฆ๏ธUncommon benign tumor characterized by multinucleated giant cells

โ™ฆ๏ธPresents with pain and swelling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Where do osteoclastomas typically originate from?

A

Epiphyseal long bone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is osteoma/exostosis?

A

A new piece of bone usually growing on another piece of bone, typically the skull

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Which bone tumor shows a bimodal prevalence in 10-18 years and 40-60 years?

A

Osteosarcoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the most common location for osteosarcoma?

A

Distal femur, followed by proximal tibia, proximal humerus, and distal radius

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the key characteristic of osteochondroma?

A

Benign cartilage-capped bony projection that grows away from joint toward diaphyseal region

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Which bone tumor is the most common in the hand?

17
Q

What is the defining feature of enchondroma?

A

Benign cartilage within the intramedullary cavity of the bone

18
Q

Where do chondroblastomas most commonly occur?

A

Around the knee

19
Q

What is the origin site for chondroblastomas?

A

Epiphyseal plate

20
Q

What is Ewingโ€™s sarcoma?

A

A malignant round cell sarcoma of the bone

21
Q

What characteristic genetic abnormality is associated with Ewingโ€™s sarcoma?

A

11:22 translocation

22
Q

What are the systemic symptoms associated with bone tumors arising from the diaphysis?

A

Fever, anemia

23
Q

What is the typical radiological appearance of bone tumors with onion-skin periosteal reaction?

A

Diaphyseal bone tumors

24
Q

What percentage of bone tumors arise from a different source with metastasis to the bone?

25
Name the 5 most common primary tumors that metastasize to bone.
Lungs, breast, kidney, thyroid, prostate
26
How are carcinomas usually spread to the bone?
By hematogenous spread
27
What are the three staging categories for benign bone tumors?
Latent (asymptomatic), active (mild symptoms), aggressive (rapid growth)
28
What is the staging for a high-grade extracompartmental malignant bone tumor?
Stage 2B
29
What is the key clinical difference between benign and malignant bone tumors in terms of presentation sequence?
Benign: mass appears first, followed by pathological fracture, then pain (B-MFP); Malignant: pain is usually first, followed by mass and pathological fracture (M-PMF)
30
What stage is assigned to any bone tumor with metastasis?
Stage 3
31
State 5 investigations for Primary bone tumours
โ™ฆ๏ธ X-ray โ™ฆ๏ธCT scan โ™ฆ๏ธPET scan โ™ฆ๏ธScintigraphy โ™ฆ๏ธAngiography โ™ฆ๏ธBiopsy
32
4 treatment options for primary bone tumours
โ™ฆ๏ธRadiotherapy โ™ฆ๏ธChemotherapy โ™ฆ๏ธAmputation โ™ฆ๏ธExcision & reconstruction of benign tumours