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7 Cards in this Set

  • Front
  • Back
- benign
- bone producing
- high vascolarization

macroscopic structure: round oval mass of hemorragic tissue.

microscopic structure: well defined, border of osteoclasts and well vascolarized connective tissue.

SELF LIMITING IN GROWTH

it's painful because the osteoblasts produce PGE2

Common regions: dyaphysis or metaphysis of long bones.

The adjacent tissue will show inflammation.

IMAGING: well defined mass, intracortical lesions. The nidus is the core of the tumor, is a part of necrotic bone within the lytic lesion.

TREATMENT: radiofrequency (not close to nerve roots) or resection.
Osteoid Osteoma
- Most common benign bone tumor
- Bony growth covered by a cap of cartilage
- Men, <25yo
- Most commonly originates from long metaphysis, mushroom-shaped
- Malignant transformation to chondrosarcoma is rare
Osteochondroma (exostosis)
- Benign cartilaginous neoplasm
- Found in medullary cavity of bone
- Usually hands and feet
Enchondroma
- Benign but locally agressive bone tumor
- Proliferation of osteoclast-type multinucleated giant cells
- Soap bubble appearance on x-ray
Giant Cell Tumor
- Most common primary malignant bone tumor
- Men, 10-20yo
- Most commonly found in metaphysis of long bones
- Characteristics: pain, increase in AlkPhos, Codman Triangle (elevation of periosteum) on xray
- Predisposing factors: Paget's dz of bone, bone infarcts, radiation, retinal blastoma
Osteosarcoma
- Malignant cartilaginous tumor of bone
- Men, 30-60yo
Chondrosarcoma
- Small blue cell malignant tumor
- Boys, <15yo
- Extremely malignant, early metastases
- Responds to chemotherapy
- 11;22 chromosomal translocation
Ewing sarcoma