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36 Cards in this Set

  • Front
  • Back

associated with painful scoliosis?

osteoid osteoma

pain with osteoid osteoma attributed to?

increased prostaglandin E2 and COX 1/2 expression

Rothmund Thomson syndrome

- AR inheritance


- mutation in RECQL4 gene, chr 8q24.3


- sun-sensitive facial poikiloderma rash


- increased risk of osteosarcoma, fibrosarcoma, gastric adenocarcinoma, cutaneous BCC/SCC

gene associated with osteosarcoma

retinoblastoma tumor suppressor gene (Rb): predisposed to osteosarcoma

chromosome findings with parosteal osteosarcoma

high rate MDM2 amplification and ring chromosome

mutation in periosteal osteosarcoma

germ-line mutation of p53 in 15-20% of cases

telangiectatic osteosarcoma associated with the following mutations:

Rb-1


p53


HER2/neu


c-myc


c-fos

enchondroma is caused by?

abnormality of chondroblast function in the physis

Ollie's disease

- sporadic inheritance


- skeletal dysplasia with failure of normal endochondral ossification


- enchondromas throughout the metaphysis and diaphysis of long bones, causes shortening and bowing


- risk of malignant transformation <30%

multiple enchondromatosis also known as:

Ollie's disease

Maffucci's syndrome

- sporadic inheritance

- multiple enchondromas and soft-tissue angiomas


- risk of malignant transformation 100%


- increased risk of visceral malignancies (astrocytoma, GI malignancy)


malignant transformation of osteochondroma?

secondary chondrosarcoma


<1% in solitary osteochondroma


5-10% in MHE

multiple hereditary exostosis

- multiple osteochondromas


- autosomal dominant


- mutation in EXT1, EXT2, EXT3 genes


- EXT1 mutation have more severe presentation

EXT1, EXT2, EXT3 genes associated with?

multiple hereditary exostosis


they are tumor suppressor genes

location of chondroblastoma?

epiphyseal, occasionally cross the physis

genetic mutations with chondroblastoma

genetic abnormalities on chromosome 5 and 8

benign lesions that can have pulmonary metastasis?

chrondroblastoma


giant cell tumor

chondromyxoid fibroma genetic mutation

genetic rearrangement may affect chromosome 6 (position q13)

secondary chondrosarcoma may arise from?

osteochondroma (<1% risk)


MHE (1-10% risk)


enchondroma (1% risk)


Ollier's disease (25-40% risk)


Maffucci's (100%)

clear cell chondrosarcoma

- malignant immature cartilaginous tumor accounting for <2% of all chondrosarcomas


- epiphyseal lesion, can be mistaken for low-grade chondroblastoma


- locally destructive with potential to metastasize

mesenchymal chondrosarcoma

- chondrosarcoma variant which presents with a biphasic pattern of neoplastic cartilage with associated neoplastic small round blue cell component


- may occur at several discontinuous sites at presentation and can occur in the soft tissues


- treatment includes net-adjuvant chemotherapy followed by wide surgical resection

lymphoma stain characteristics

CD20 positive


CD45 positive


lymphocyte common antigen positive

prior names for non-ossifying fibroma

metaphyseal fibrous defect


nonosteogenic fibroma


cortical desmoid


fibromatosis


xanthoma

how differentiate chordoma from chondrosarcoma?

keratin positive in chordoma

chordoma stain

keratin positive


weakly S100 positive

cell level cause of primary aneurysmal bone cyst

up regulation of ubiquitin-specific protease USP6 (Tre2) gene on 17p13 when combined with translocation with a promoter pairing - most commonly described is translocation t(16;17)(q22;p13)

genetic cause of fibrous dysplasia

- GS alpha protein activating mutation


- chromosome 20q13


- cAMP signaling pathway affected leading to increase cAMP

McCune Albright syndrome

defined by presence of:


- skin abnormalities (cafe au last spots in coast of Maine pattern)


- endocrine abnormalities (precocious puberty and renal phosphate wasting)


- unilateral polyostotic fibrous dysplasia



Mazabraud syndrome

polyostotic fibrous dysplasia


soft tissue intramuscular myxomas

osteofibrous dysplasia

rare form of fibrous dysplasia that affects the tibia and is confined to the cortices

fibrous dysplasia risk for malignant transformation?

1% to osteosarcoma, fibrosarcoma, or malignant fibrous histiocytoma

osteofibrous dysplasia is also known as

ossifying fibroma


Campanacci lesion

osteofibrous dysplasia genetics

trisomy 7, 8, 12, 22 have been reported


does not have Gs alpha activating mutation

Paget's disease

abnormal bone remodeling due to increased osteoclastic bone resorption

Paget's disease mutation

SQSTM1 (p62/Sepquestosome)

laboratory findings with Paget's

- elevated alk phos


- elevated urine hydroxyproline


- increased urine N-telopeptide, a-C-telopeptide, deoxypyridinoline


- normal Ca