FINALS: MSK Tumors Flashcards

(30 cards)

1
Q

Q: What is the most common benign bone tumor in children?

A

A: Osteochondroma.

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2
Q

Q: Which tumor involves a t(11;22) translocation?

A

A: Ewing Sarcoma.

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3
Q

Q: Which benign tumor has a nidus and is relieved by NSAIDs?

A

A: Osteoid Osteoma.

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3
Q

Q: Which benign tumor is typically located in the epiphysis of long bones?

A

Chondroblastoma

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4
Q

Q: What is the classic radiographic appearance of a Unicameral Bone Cyst (UBC)?

A

A: Radiolucent lesion, often in proximal humerus or femur, affecting children aged 5–15.

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4
Q

Q: What syndrome is associated with multiple fibrous cortical defects, café-au-lait spots, and other anomalies?

A

A: Jaffe-Campanacci Syndrome.

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4
Q

Q: Which benign tumor is characterized by blood-filled spaces and can be locally aggressive?

A

A: Aneurysmal Bone Cyst (ABC).

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5
Q

Q: What is the most common malignant bone tumor?

A

A: Osteosarcoma.

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5
Q

Q: Which benign lesion is eccentric, metaphyseal, and common in adolescents?

A

A: Fibrous Cortical Defect (non-ossifying fibroma).

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5
Q

Q: What is a distinguishing histologic feature of Chondroblastoma?

A

A: Well-marginated lesion with potential for recurrence or rare malignancy.

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6
Q

Q: What is the typical radiographic finding of Ewing sarcoma?

A

A: Onion-skin appearance.

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6
Q

Q: What is the treatment for asymptomatic benign bone cysts?

A

A: Observation; surgery if cortical thinning or pain is present.

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6
Q
A
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6
Q

Q: What is the hallmark histologic feature of osteosarcoma?

A

A: Production of malignant osteoid.

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6
Q

Q: Where does osteosarcoma most commonly occur?

A

A: Distal femur, proximal tibia, and proximal humerus.

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6
Q

Q: What primary bone lymphoma type is most common?

A

A: Non-Hodgkin’s lymphoma.

6
Q

Q: What are the three surface variants of osteosarcoma?

A

A: Parosteal, periosteal, and high-grade surface.

6
Q

Q: Which surface osteosarcoma has the best prognosis and grows slowly?

A

A: Parosteal osteosarcoma.

6
Q

Q: What is the typical treatment regimen for Ewing Sarcoma?

A

A: 6–9 months of alternating chemotherapy (VDC + IE), surgery, and/or radiation.

7
Q

Q: What is the most common skeletal malignancy in adults?

A

A: Multiple Myeloma.

7
Q

Q: What radiographic finding is classic for multiple myeloma?

A

A: “Punched-out” lytic lesions in skull and axial skeleton.

7
Q

Q: What is the treatment approach for multiple myeloma?

A

A: Chemotherapy (e.g., VAD), bisphosphonates, stem transplant, radiation, surgical stabilization.

7
Q

Q: What is the second most common malignant bone tumor?

A

A: Chondrosarcoma.

7
Q

Q: What grade of chondrosarcoma has the worst prognosis?

A

A: Grade 3 (5-year survival ~29%).

7
Q: What is the typical treatment for chondrosarcoma?
A: Surgical resection; poor response to chemo and radiation.
7
Q: Which cancer commonly metastasizes to bone in males? In females?
A: Males – prostate; Females – breast.
7
Q: What malignant tumor has a predilection for axial skeleton and shows “bull’s eye” sign on imaging?
A: Metastatic Bone Disease.
8
Q: What bone tumor is common in plasma cells and presents with monoclonal gammopathy?
A: Multiple Myeloma.
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