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Bone Tumors
Robbins Path 1220-1234
58
Medical
Graduate
04/09/2012

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Cards

Term
Skull and facial bones. Middle age. Gardner syndrome. woven and lamellar bone. Little clinical significance except when they cause obstruction of a sinus cavity, impinge brain or eye, etc
Definition
Osteoma; round ot oval sessile tumors projecting from subperiosteal surface of cortex
Term
benign bone tumor of cortex of long bones, less than 2cm in greatest dimension and occur in teens and 20s. Also seen in posterior spine. pain relieved by aspirin
bony mass with radioleucent core
Definition
Osteoid Osteoma
Term
larger than 2cm, Vertebrae, pain is dull, achy, and unresponsive to asprin, does not induce marked bony reaction. Tx with radiation can cause malignant transformation
Definition
Osteoblastoma
Term
Most common malignant bone cancer, occur in men (16:1), Knee (50%), malignant mesenchymal tumor where cancerous cells make bone. RB/p53 genes, occur at site of bone growth, pre-existing disorders
Definition
Osteosarcoma
Term
big bulky tumors, gritty, gray white, areas of hemorrhage and cystic degeneration. lace like architecture or in broad sheets
Definition
osteosarcoma
Term
osteosarcoma with malignant cartilage, 50-60% necrotic with large amounts of vascularization
Definition
chondroblastic osteosarcoma;
Term
Codman triangle, breaks through cortex and lifts the periosteum resulting in reactive periosteal bone formation, 90% pts have metastasis; peak incidence in teenagers, also less frequently in elderly (risk include familial RB)
Definition
osteosarcoma
Term
small round cell tumors of bone and soft tissue; Homer-Wright Rosettes, necrosis prominent, diaphysis of tubular long bones, males 10-20 yrs old
Definition
Ewing Sarcoma, PNET
Term
fever, elevated sedimentation rate, anemia, leukocytosis, desructive lytic tumor with permeative margins and extenstion into soft tissues; onion skin bone deposition
Definition
Ewing Sarcoma/PNET
Term
Difference between PNET and Ewing Sarcoma
Definition
PNET have neural differentiation; undifferentiated are Ewing Sarcoma; pretty much same tumor with different variants
Term
11:22 translocation, whites>blacks, between ages of 10-20, youngest age of presentation
Definition
Ewing Sarcoma, PNET
Term
mixture of mononuclear cells and profusion of multinucleated osteoclast cells; uncommon and benign but locally aggressive
Definition
Osteoclastoma aka Giant Cell Tumor
Term
large red-brown tumors undergoing cystic degeneration. Uniform oval monouclear cells. Necrosis, hemorrhage, hemosiderin depostion and reactive bone formation are common
Definition
Giant cell tumor/ aka osteoclastoma
Term
benign tumor of the bone characterized by multiloculated blood filled cystic spaces presenting as a rapidly growing expansile tumor
Definition
Aneurysmal bone cyst
Term
17p13 translocation resulting in up-regulation of USP6, a deubiquitizing enzyme
Definition
Aneurysmal bone cyst
Term
"blue bone" cartilage like matrix; Necrosis is uncommon, multinucleated osteoclast like giant cells, plump uniform fibroblast, tan-white septa
Definition
aneurysmal bone cyst
Term
Pain, swelling, first 2 decades of life, long bones, vertebral bodies, neurologic symptoms, rarely fractures, lytic lesions
Definition
aneurysmal bone cyst
Term
metasteses to the bones of the hands and feet originate from...?
Definition
lung, kidney or colon (relatively uncommon)
Term
sessile, mushroom shaped ranging from 1-20cm. Cap composed of benign hylain cartilage covered by perichondrium. Attached to by a bony stalk
Definition
osteochondroma
Term
slow growing masses, which can be painful. Usually incidental findings, underlying bones may be bowed and shortened. Stop growing at time of growth plate closure
Definition
osteochondroma
Term
develop only in bones of endochondral origin, occasionally the pelvis, scapula, and ribs and rarely hands and feet
Definition
osteochondroma
Term
Reduced expression of EXT1 or EXT2
Definition
osteochondroma
Term
osteocartilagenous exostosis
Definition
osteochondroma
Term
endochondromatosis associated with soft tissue hemangiomas
Definition
Maffucci syndrome
Term
syndrome of multiple enchondromas or enchondromatosis
Definition
Ollier disease
Term
Smaller than 3cm and gray-blue and translucent. Well circumscribed nodules of cytologically benign hylaine cartilage, hands and feet, medulla
Definition
Chondroma
Term
pagets disease of bone is a risk factor for this type of bone cancer
Definition
osteosarcoma
Term
Malignant bone tumors
Definition
chondrosarcoma, osteogenic sarcoma, ewing sarcoma
all end in SARCOMA!!!!
Term
benign bone tumors
Definition
osteochondroma, endochondroma, osteoma, osteoid osteoma, osteoblastoma, giant cell tumor
Term
metaphysis of distal long bones (usually the knee) presents as a pathological fracture
Definition
osteosarcoma
Term
cancer of pelvic girdle
Definition
Ewing Sarcoma, chondrosarcoma
Term
Tumor of the EPIPHYSIS of knee (distal femur, prox tibia) Soap bubble appearance,
Definition
Giant Cell of bone
Term
medulla of pelvis and proximal femur; males 30-60
mets to lung
Definition
chondrosarcoma
Term
what characterizes mets of the bone
Definition
osteolytic tumors of bones (except for mets from prostate), more common than primary bone tumors
Term
Most common cause of osteonecrosis
Definition
fracture, idiopathic, or follow corticosteroid admin
Term
location of most bone infarcts
Definition
medullary cavity ofmetaphysis or diaphysis and subchondral region of epiphysis
Term
creeping substitution
Definition
osteoclast resorb necrotic bone trabeculae; remaining necrotic bone acts as a scaffold for deposition of new bone
Term
infarct of bone causing chronic pain that is initially only noticed with activity and becomes progressively more constant
Definition
subchondral infarct
Term
infarct of bone that is generally stable and clinically silent
Definition
medullary infarct
Term
conditions associated with osteonecrosis
Definition
trauma, steroids, infection, the bends, radiation, CT disorder, pregnancy, GAUCHER disease, sickle cell, EtOH abuse, chronic pancreatitis, tumors, epiphyseal disorders
Term
origin of osteomyelitis in children
Definition
usually hematogenous in origin and affecting long bones; usually from trivial injuries of mucosa such as defecation or cheweing, or skin infections
Term
origin of osteomyelitis in adults
Definition
complications of open fractures, surgical procedures nd diabetic infections of the feet
Term
pathogen of osteomyelitis in infants
Definition
HI and group B strep
Term
pathogen of osteomyelitis in sickle cell patients
Definition
salmonella
Term
pathogen of osteomyelitis in Genitourinary infected patients or drug users
Definition
E. Coli, Pseudomonas, klebsiella
Term
pathogen responsible for 80-90% of osteomyelitis cases (pyogenic)
Definition
Staph aureus
Term
location of osteomyelitis seeding in:
a.) neonate
b.) kids
c.) adults
Definition
a.) meta, epi, or both
b.) meta
c.) epi, subchondral
Term
sequestrum
Definition
dead piece of bone
Term
draining sinus
Definition
rupture of periosteum leading to a soft tissue abscess leads to a draining sinus
Term
pathology of osteomyelitis in infants
Definition
infection of epi can spread through the articular surface or along capsular and tendoligamentous insertions in a joint, producing septic or suppurative arthritis which can cause destruction of articular cartilage and permanent disability.
Term
osteomyelitis of Garre
Definition
develops in jaw and associated with extensive new bone formation
Term
brodie abscess
Definition
small intraosseous abscess frequently involving the cortex and walled off by reactive bone.
Term
involucrum
Definition
sleeve of living tissue formed by newly deposited bone around the segment of devitalized infected bone.
Term
complications of chronic osteomyelitis
Definition
pathologic fracture, secondary amyloidosis, endocarditis, sepsis, sqamous cell carcinoma in sinus tract, sarcoma in the infected bone (rare)
Term
sites of skeletal involvement in tuberculous osteomyelitis
Definition
spine (40%), knees and hips
Term
complications of tuberculous osteomyelitis
Definition
tuberculous arthritis, sinus tract formation, psoas abscess, amyloidosis
Term
bones involved in skeletal syphilis
Definition
nose, palate, skull, extremities (especially tibia)
Term
saber shin
Definition
massive reactive periosteal bone depo on medial and anterior surface of tibia in syphilis
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