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13 Cards in this Set
- Front
- Back
What is Osteochondroma?
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1) Most common benign bone tumor, usu. men < 25
2) Growth covered by cartilage cap 3) Originate from long bone metaphysis like around knee 4) RARELY transform to chondrosarcoma |
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What is Giant Cell Tumor?
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1) M=F ages 20-40 yrs
2) Common benign 3) Spindle cells mixed with giant cells 4) > 50% in knee area 5) "Soap bubble" on x-ray |
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What is Osteosarcoma?
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Most common primary bone malignant bone tumor, affecting young men 10-20 yrs usually around knee
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What are the si/sx of Osteosarcoma?
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1) Pain, fracture, swelling
2) High ALP 3) Codman's Triangle: elevated periosteum by expanding tumor |
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What predisposes someone to Osteosarcoma?
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1) Radiation
2) Retinoblastoma (del 13q) 3) Bone infarct |
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What is Chondrosarcoma?
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Malignant cartilage tumor, in men 30-60 yrs
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What is Ewing's Sarcoma?
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Small anaplastic blue cell tumor resembling malignant lymphoma, see "ONION SKINNING" on x-ray
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Who gets Ewing's Sarcoma?
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1) Young boys < 15 yrs
2) 11:22 translocation |
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What is Multiple Myeloma?
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Malignant clonal neoplasm of Plasma Cells producing:
- whole Abs (IgM, IgG, etc.) - light chain Abs - or no Abs (just inc. B-cells) |
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Who gets Multiple Myeloma?
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Patients > 40 yrs, black twice as likely as white
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How does Multiple Myeloma present?
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1) Bone pain, worse with movement, back and ribs
2) Punched-out lytic bone lesions 3) Hypercalcemia |
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How do you Dx Multiple Myeloma?
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1) SPEP: M-spike if clones making whole Abs
2) UPEP: spike if clones make light chains only 3) Osteolytic bone lesions 4) Bence-Jones proteinuria |
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What are Bence-Jones proteins?
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Ab light chains in urine
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