Orthopedic neoplasms Flashcards Preview

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Flashcards in Orthopedic neoplasms Deck (21):
1

Osteogenic sarcoma- Eti

Common in children & adolescents, secondary to other sarcomas in adults. Metaphysis of long bones- femur, tibia & humerus

2

Osteogenic sarcoma-Sx

Pain and swelling. Dilated veins, mass over site, pathologic fractures

3

Osteogenic sarcoma- Dx

X-ray & biopsy of leading edge

4

Osteogenic sarcoma- Tx

Methotrexate, resection of tumor

5

Chondrosarcoma- Eti

30-60 yo. Men, pelvis & femur most common- flat bones.

6

Chondrosarcoma- Sx

Local minimal pain x years, absence of osteoid formation

7

Chondrosarcoma- Dc

X-ray

8

Ewing Sarcoma- Eti

Adolescence, diaphysial region or long bones, aggressive systemic disease

9

Ewing Sarcoma- Sx

Pain, tenderness, fever & leukocytosis large soft tissue mass,

10

Ewing Sarcoma- Dx

Onion peel on x-ray

11

Ewing Sarcoma- Tx

Agressive systemic chemotherapy, surg resection

12

Giant cell tumor- Eti

Benign, agressive tumor. Females 20-40 , knee, verterbra, radius & sacrum

13

Giant cell tumor- Tx

Surg: Cortical widening, curettage, bone grafts

14

Giant cell tumor- Sx

Pain, swelling, joint movement limited

15

Enchondroma- Eti

Long bones

16

Enchondroma- Sx

Silent lesion-> produces pathologic fracture

17

Enchondroma- Dx

Fingernails through clay on x-ray

18

Enchondroma- Tx

Curettage & grafting

19

Osteochondroma- Eti

Most common benign bone tumor in children, developmental defect in growth plate. Males

20

Osteochondroma- Sx

Pain free mass- pain caused by overlying bursitis, or tendonitis

21

Osteochondroma- Tx

If interferes with function