orthopaedic oncology Flashcards

(40 cards)

1
Q

what does osteo mean?

A

bone

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2
Q

what does chondro mean?

A

cartilage

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3
Q

what does sarco mean?

A

soft tissue

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4
Q

what does sarcoma suggest?

A

malignancy of bone/soft tissue

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5
Q

most common place for metastases?

A

breast, lung, prostate, renal (kidney) , thyroid

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6
Q

3 most common sarcomas?

A
  1. Ostesarcoma
  2. Chondrosarcoma
  3. Ewing’s sarcoma
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7
Q

presenting features of bone cancer?

A
  • persistent, increasing pain
  • worse at night
  • swelling and erythema over joint
  • palpable mass
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8
Q

where does osteosarcoma usually present?

A

usually around distal femur/ proximal tibia

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9
Q

who does osteosarcoma usually affect?

A

children/young adults

2nd peak in elderly

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10
Q

what is the treatment for osteosarcoma?

A

chemotherapy and limb salvage

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11
Q

where do osteosarcomas usually metastasise to?

A

pulmonary

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12
Q

what age is usually affected by Ewings sarcoma?

A

young people (5-25)

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13
Q

where is Ewing’s sarcoma usually found?

A

diaphysis of long bones usually in distal femur/proximal tibia

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14
Q

what is the treatment for ewings sarcoma?

A

chemotherapy with limb salvage +/- adjuvant radiation

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15
Q

what is the treatment for ewigns sarcoma?

A

chemotherapy with limb salvage +/- adjuvant radiation

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16
Q

who does chondrosarcoma usually affect?

A

older patients 40-75 years

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17
Q

where are chondrosarcomas usually found?

A

pelvis, proximal and distal femur

18
Q

is osteoid osteoma benign or malignant?

19
Q

what does osteoid osteoma look like on an Xray?

A

like a little O

20
Q

who usually is affected by osteoid osteoma?

A

young people aged 5-25

21
Q

where are osteoid osteomas usually found?

A

in the long bones

22
Q

how does an osteoid osteoma usually present?

A

-pain which is worse at night but can be controlled by aspirin

23
Q

what is the treatment for an osteoid osteoma?

A

can resolve spontaneously or with radiofrequency ablation

24
Q

how would an osteoid osteoma be described on xray?

A

as a little O

-central nodule of woven bone with osteblastic rim

25
what is the commonest benign bone tumour?
osteochondroma
26
what age is usually affected by osteochondromas?
adolescents/young adults
27
who does enchondroma usually affect?
20-50 year olds
28
how does enchondroma present?
usually asymptomatic
29
what is an enchondroma?
benign intrmedullary cartilage lesion
30
what is the treatment for enchondroma?
conservative treatment, curettage and bone grafting if symptomatic
31
what is the treatment for enchondroma?
conservative treatment, curettage and bone grafting if symptomatic
32
what is an osteosarcoma?
a malignant bone tumour that produces bone
33
what causes an osteosarcoma?
mutation in the retinoblastoma gene
34
osteosarcoma presenting symptoms?
- constant pain - weight loss - worse at night - fatigue
35
what is chondrosarcoma?
a malignant cartilage producing primary bone tumour
36
what causes a chondrosarcoma?
unknown
37
how does a chondrosarcoma present?
- back or thigh pain - sciatica - bladder pain - unilateral oedema
38
what is the treatment for chondrosarcoma?
SURGERYYY | -no chemo or radiotherapy :(
39
how would you describe the way in which you chondrosarcomas metastases?
large and slow to metastases
40
how would you describe Ewing's sarcoma?
small round blue cell tumour