ana 8 Flashcards

(41 cards)

1
Q

What are lipomas?

A

Benign tumors of fat, the most common soft-tissue tumors of adulthood

Lipomas are subclassified into conventional lipoma, fibrolipoma, angiolipoma, spindle cell lipoma, myelolipoma, and pleomorphic lipoma.

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2
Q

How are conventional lipomas characterized morphologically?

A

Well-encapsulated mass of mature adipocytes that varies in size

They arise in the subcutis of the proximal extremities and trunk, most frequently during middle adulthood.

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3
Q

What is the typical treatment for lipomas?

A

Simple excision

Lipomas are usually soft, mobile, painless (except angiolipoma).

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4
Q

What are the common subtypes of fibromatoses?

A

Superficial fibromatoses, deep fibromatoses

Nodular fasciitis and fibrosarcoma are also included in tumors of fibrous tissue.

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5
Q

What is rhabdomyosarcoma?

A

The most common soft-tissue sarcoma of childhood and adolescence

Usually appears before age 20 and can arise in any anatomic location.

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6
Q

What are the histological subtypes of rhabdomyosarcoma?

A

Embryonal, alveolar, pleomorphic

Rhabdomyoblast is the diagnostic cell in all types.

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7
Q

What is the most common neoplasm in women?

A

Uterine leiomyomas

They develop in 77% of women and may cause a variety of symptoms including infertility.

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8
Q

What are lymphangiomas?

A

Malformations of the lymphatic system

They can be microcystic, macrocystic, or mixed subtypes.

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9
Q

What is the most common tumor of the head and neck in infancy?

A

Hemangiomas

They comprise approximately 7% of all benign soft tissue tumors.

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10
Q

What is the typical presentation of leiomyosarcomas?

A

Malignant spindle cells with cigar-shaped nuclei

They account for 10% to 20% of soft-tissue sarcomas.

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11
Q

What are the pathways of spread for metastatic tumors to bone?

A

Direct extension, lymphatic or hematogenous dissemination, intraspinal seeding

In adults, more than 75% of metastases originate from cancers of the prostate, breast, kidney, and lung.

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12
Q

What is chondrosarcoma?

A

Malignant tumor of cartilage

It is subclassified into central and peripheral types.

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13
Q

What are the classic X-ray findings in chondrosarcoma?

A

Codman’s triangle, sunburst pattern, bone destruction

These findings are characteristic of the tumor’s aggressive nature.

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14
Q

What is a giant cell tumor (osteoclastoma)?

A

Uncommon malignant neoplasm containing multinucleated giant cells

It often involves the epiphyses of long bones, particularly around the knee.

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15
Q

What is Ewing sarcoma?

A

Malignant neoplasm of undifferentiated cells arising within the marrow cavity

Most commonly occurs in teenagers and is associated with a characteristic translocation t(11;22).

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16
Q

What are the histological features of Ewing sarcoma?

A

Sheets of undifferentiated small round blue cells resembling lymphocytes

Characteristic Homer-Wright pseudorosettes are often present.

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17
Q

What is an aneurysmal bone cyst?

A

Benign tumor characterized by multiloculated blood-filled cystic spaces

Most commonly occurs in the first two decades of life.

18
Q

What is a glomus tumor?

A

Rare benign neoplasm arising from the glomus body

Mainly found under the nail, on the fingertip, or in the foot.

19
Q

What is bacillary angiomatosis?

A

A form of angiomatosis associated with bacteria of the Bartonella genus

Characterized by the proliferation of blood vessels forming tumor-like masses.

20
Q

What is bacillary angiomatosis associated with?

A

Bacteria of the Bartonella genus

Bacillary angiomatosis is characterized by the proliferation of blood vessels, forming tumor-like masses.

21
Q

What is an osteochondroma?

A

Benign bone metaphyseal growths capped with cartilage originating from epiphyseal growth plate

Osteochondromas may affect adolescent males as a firm, solitary growth at the ends of long bones.

22
Q

What symptoms are associated with osteochondromas?

A

Pain worse at night, relieved with aspirin

Osteochondromas can be asymptomatic or cause pain and deformity.

23
Q

What are the X-ray findings for osteochondromas?

A

Central radiolucency surrounded by a sclerotic rim

24
Q

What is an osteoblastoma?

A

Similar to an osteoid osteoma but larger than 2 cm, often involving vertebrae

25
What defines an osteoma?
Benign growth involving the skull and facial bones with extremely slow growth rate
26
What is osteoid osteoma?
Benign, painful growth of the diaphysis of a long bone, often the tibia or femur ## Footnote Common in ages 5-25, mostly males.
27
What distinguishes vascular malformations from hemangiomas?
Vascular malformations are present at birth, do not go through a rapid proliferative phase, and do not involute
28
What are the types of vascular malformations?
Capillary, venous, arterial, or combinations of these
29
What characterizes osteochondromatosis?
Multiple, often symmetric, osteochondromas
30
What is an enchondroma?
Benign cartilaginous growth within the medullary cavity of bone, usually asymptomatic
31
What is osteosarcoma?
Highly malignant bone tumor characterized by formation of bone matrix or osteoid by malignant tumor cells
32
What is the peak incidence age for osteosarcoma?
Ages 10-25 and elderly after 40 years
33
What is Kaposi's sarcoma caused by?
Human herpesvirus 8 (HHV8)
34
What are the microscopic features of Kaposi's sarcoma?
Abundant small branching blood vessels, spindle cells, intracellular hyaline globs, extravasated RBC
35
What is angiosarcoma?
Malignant neoplasm of endothelial-type cells that line vessel walls
36
What is a hemangiopericytoma?
Type of soft tissue sarcoma originating in pericytes in the walls of capillaries
37
What is Ollier disease?
A non-hereditary syndrome with multiple enchondromas in hands and feet
38
What is Maffucci syndrome?
Multiple enchondromas and soft tissue hemangiomas with increased risk of malignant transformation
39
What are secondary osteosarcomas associated with?
Paget disease of bone, radiation exposure, chemotherapy, pre-existing benign bone lesions
40
What is the difference between primary and secondary osteosarcomas?
Primary osteosarcomas have unremarkable underlying bone; secondary develop in association with pre-existing bone disorders
41
What mutations are associated with osteosarcoma?
Mutations in RB, Li-Fraumeni syndrome (germline p53 mutations), abnormalities in INK4a