Tumors Flashcards
location of osteiod Osteoma
50% in tib/fib,
spine,
posterior elements
Age of osteiod Osteoma
2nd , 3rd decace
Clinical osteiod Osteoma
pain worst at night
relieved with salicylates 6-24 months before diagnosis
painful scoliosis
If intraarticular it may mimic JRA w/synovitis and joint effusion
Radiology findings of osteiod Osteoma
Reactive sclerosis
lucent nidus less than 1cm
may have central calcification
misleading MR
Tx for osteiod Osteoma
surgical radiofrequency ablation
Location of osteoblastoma
long bones 40% in sline
age osteoblastoma
2nd , 3rd decade
clinical findings of osteoblastoma
rarely agressive
pseudomalignant
Radiology osteoblastoma
Giant Osteiod osteoma lucent nidus greater than 1.5 cm may have multiple internal calcifications maybe expansile less reactive sclerosis than OO
Location for osteosarcoma: classic medullary
medullary metaphyseal
40% femur
>50% at knee
age of osteosarcoma: classic medullary
10-25 yo
clinical findings of osteosarcoma: classic medullary
pain months before diagnosis
Elevated alkaline phosphate
Radiology findings of osteosarcoma: classic medullary
cloud like dense bone formation
may have extraosseous mass
sunburst
speculated periosteal reactive often with codman’s triangle
tx for osteosarcoma: classic medullary
poor prognosis (30% 5 yr) if presents with skip lesion of 4 lung mets ; isolated lesion 75% 5 yr survival
location of parosteal osteosarcoma
2/3 distal femoral metaphysis
age of parosteal osteosarcoma
27 YO , 5-10 years older than medullary
female >male
clinical findings for parosteal osteosarcoma
mass w/dull aching pain
radiology findings of parosteal osteosarcoma
amoprphous
cloud of mineralization in lobulated surface mass
Tx for parosteal osteosarcoma
better prognosis than medullary 5 yr survival >90% low grade chemo not indicated Best prognosis if no medullary extension
age for periosteal osteosarcoma
diaphysis
age for periosteal osteosarcoma
same age as medullary
clinical findings for periosteal osteosarcoma
1-2% of OS
Radiology findings of periosteal osteosarcoma
rare surface lesion
Periosteal reaction
soft tissue mass
tx for periosteal osteosarcoma
slightly better prognosis than medullary
clinical findings for Telengiectatic osteosarcoma
5% of OS
Radiology findings of Telengiectatic osteosarcoma
Usually osteolytic
frequent fluid filled levels
spider web blood vessels so blood inside the bone
Tx for Telengiectatic osteosarcoma
prognosis same as classicl OS
clinical findings in osteosarcoma in paget’s dz
occurs in 1% of paget pts
rule of 1
classic finding: their hat wont fir anymore
tx for Telengiectatic osteosarcoma
poor prognosis 5 yr survival 3-8%