What is a characteristic X-ray pattern associated with osteosarcoma?
A typical 'sunburst' pattern.
Where are bone tumors typically localized in a mature skeleton?
In the diaphysis of long tubular bones.
1/238
p.29
Common Types of Primary Bone Cancer

What is a characteristic X-ray pattern associated with osteosarcoma?

A typical 'sunburst' pattern.

p.14
Types of Bone Tumors: Benign vs. Malignant

Where are bone tumors typically localized in a mature skeleton?

In the diaphysis of long tubular bones.

p.40
Symptoms and Diagnosis of Bone Tumors

What is a characteristic X-ray feature of multiple myeloma?

Osteopenia.

p.29
Common Types of Primary Bone Cancer

What type of bone cancer is shown in the X-ray of the femur?

Osteosarcoma.

p.13
Overview of Bone Tumors

How does the structure of a typical long bone differ between adults and children?

Children have epiphyseal discs for growth, while adults have epiphyseal lines.

p.23
Imaging Techniques for Bone Tumors

What imaging techniques are used to reveal the extent of a giant cell tumor?

CT and MRI.

p.14
Types of Bone Tumors: Benign vs. Malignant

Where are bone tumors typically localized in an immature skeleton?

In the metaphysis of long tubular bones.

p.36
Common Types of Primary Bone Cancer

What is multiple myeloma?

A type of cancer that affects plasma cells, which are a type of white blood cell found in the bone marrow.

p.36
Common Types of Primary Bone Cancer

What type of cells does multiple myeloma affect?

Plasma cells.

p.12
Overview of Bone Tumors

What is the diaphysis of a long bone?

The long shaft of the bone.

p.34
Imaging Techniques for Bone Tumors

What imaging technique is required for initial staging of Ewing's sarcoma to check for pulmonary metastasis?

CT scan.

p.30
Symptoms and Diagnosis of Bone Tumors

What is the primary imaging technique used for diagnosing osteosarcoma?

X-ray.

p.34
Imaging Techniques for Bone Tumors

Which imaging method is used to identify soft tissue extension and marrow involvement in Ewing's sarcoma?

MRI.

p.12
Overview of Bone Tumors

What covers the epiphysis of a long bone?

Cartilage.

p.4
Imaging Techniques for Bone Tumors

What is the first question to ask when studying an X-ray?

What is the clinical question or concern?

p.40
Symptoms and Diagnosis of Bone Tumors

What type of fractures are commonly seen in multiple myeloma?

Vertebral compression fractures.

p.23
Imaging Techniques for Bone Tumors

What does an X-ray show in relation to a giant cell tumor?

A giant cell tumor in the lower end of the radius bone in the wrist.

p.40
Symptoms and Diagnosis of Bone Tumors

Where do expanding lesions typically occur in multiple myeloma?

In the ribs and pelvis.

p.13
Overview of Bone Tumors

What is the epiphyseal disc?

A growth plate found in long bones.

p.40
Symptoms and Diagnosis of Bone Tumors

What are 'punched-out' areas in the context of multiple myeloma?

Areas seen in the skull and long bones on X-ray films.

p.23
Types of Bone Tumors: Benign vs. Malignant

What characteristic appearance is associated with benign bone tumors?

Characteristic 'soap-bubble' appearance.

p.23
Biopsy Procedures for Bone Tumors

What is the purpose of a biopsy in the context of bone tumors?

To obtain tissue for diagnosis.

p.26
Epidemiology

What is the typical age group affected by Osteosarcoma?

Children, adolescents, and young adults under the age of 30.

p.17
Overview of Bone Tumors

What is the significance of the copyright notice?

It indicates the ownership of the work and the rights reserved by the copyright holder.

p.2
Symptoms and Diagnosis of Bone Tumors

What type of pain is commonly associated with bone tumors?

Deep ache, especially nocturnal pain.

p.26
Common Types of Primary Bone Cancer

What are the most common sites for Osteosarcoma?

Long bone metaphyses, especially around the knee and proximal humerus.

p.37
Overview of Bone Tumors

What causes the effects on bone in multiple myeloma?

Marrow cell proliferation and increased osteoclastic activity.

p.26
Overview of Bone Tumors

How does Osteosarcoma spread?

Rapidly outwards to the periosteum and surrounding soft tissues.

p.2
Symptoms and Diagnosis of Bone Tumors

What can sometimes cause a tumor to start hurting?

A history of trauma.

p.31
Physiotherapy in Bone Tumor Treatment

What type of training is provided for patients who undergo amputation due to osteosarcoma?

Training with prostheses.

p.25
Physiotherapy in Bone Tumor Treatment

What aspect of physical health does physiotherapy aim to maintain in patients with giant cell tumors?

Flexibility.

p.5
Biopsy Procedures for Bone Tumors

What is the purpose of imaging studies in a needle biopsy?

To help direct the needle to the tumor.

p.1
Overview of Bone Tumors

What effect does a growing bone tumor have on healthy tissue?

It destroys healthy tissue and weakens bone.

p.12
Overview of Bone Tumors

What is the metaphysis in a long bone?

The region between the diaphysis and epiphysis.

p.4
Imaging Techniques for Bone Tumors

What anatomical area should be focused on in the X-ray?

Which specific bone or joint is being examined?

p.32
Common Types of Primary Bone Cancer

What percentage of malignant bone tumors does Ewing's sarcoma represent?

10-15%.

p.5
Biopsy Procedures for Bone Tumors

What is removed during an open biopsy?

Some tissue is surgically removed.

p.4
Imaging Techniques for Bone Tumors

What is important to evaluate in the X-ray findings?

What are the characteristics of the bone lesion?

p.21
Symptoms and Diagnosis of Bone Tumors

What is a common symptom of a giant cell tumor?

Pain at the nearest joint.

p.4
Imaging Techniques for Bone Tumors

What should be considered regarding the patient's age?

What is the age of the patient, as it influences the differential diagnosis?

p.21
Symptoms and Diagnosis of Bone Tumors

What limitation might be experienced due to a giant cell tumor?

Limited range of motion.

p.5
Biopsy Procedures for Bone Tumors

Why should biopsy procedures be delayed until after imaging studies?

Because biopsy may alter the CT and MRI appearances.

p.38
Symptoms and Diagnosis of Bone Tumors

What condition related to calcium levels can occur in multiple myeloma?

Hypercalcemia.

p.28
Common Types of Primary Bone Cancer

What type of lesion is associated with osteosarcoma of the distal femur?

A permeative lesion.

p.21
Symptoms and Diagnosis of Bone Tumors

Is a history of trauma common in patients with giant cell tumors?

Yes, it is not uncommon.

p.10
Biopsy Procedures for Bone Tumors

What is the purpose of a biopsy in bone tumor management?

To confirm diagnosis and assess the nature of the tumor.

p.21
Symptoms and Diagnosis of Bone Tumors

What might be found during a physical examination of a giant cell tumor?

A palpable mass with warmth of the overlying tissues.

p.7
Staging Systems for Bone Tumors

What are extracompartmental tumors (T2)?

Tumors where cancer has grown through the bone wall.

p.7
Prognosis of Bone Cancer

What does the term 'metastases' refer to?

Spread of cancer from one part of the body to another.

p.9
Staging Systems for Bone Tumors

What does T3 indicate in the staging of bone tumors?

Discontinuous tumors in the primary bone site.

p.19
Common Types of Primary Bone Cancer

What are the most common sites for giant cell tumors?

Epiphyses ends of distal femur, proximal tibia, and distal radius.

p.29
Common Types of Primary Bone Cancer

What is the Codman triangle in relation to bone tumors?

A triangular area of new bone formation rising from the bone.

p.17
Overview of Bone Tumors

What does copyright protect?

Original works of authorship, including literary, dramatic, musical, and artistic works.

p.35
Management and Treatment Options for Bone Tumors

What has increased long-term survival rates for Ewing's sarcoma to greater than 50%?

The development of multi-disciplinary therapy including chemotherapy, radiation, and surgery.

p.36
Common Types of Primary Bone Cancer

Where are plasma cells found?

In the bone marrow.

p.1
Overview of Bone Tumors

What causes bone tumors to develop?

When cells within a bone divide uncontrollably, forming a lump or mass of abnormal tissue.

p.2
Symptoms and Diagnosis of Bone Tumors

What are some symptoms of bone tumors?

Pain, swelling, history of trauma, neurological symptoms, and pathological fractures.

p.1
Types of Bone Tumors: Benign vs. Malignant

Are most bone tumors benign or malignant?

Most bone tumors are benign.

p.30
Symptoms and Diagnosis of Bone Tumors

Which imaging technique shows the extent of the tumor in osteosarcoma?

MRI and CT scans.

p.33
Common Types of Primary Bone Cancer

What type of cancer is Ewing's sarcoma?

A type of primary bone cancer.

p.20
Overview of Bone Tumors

What are giant cells formed by?

The fusion of several cells.

p.18
Physiotherapy in Bone Tumor Treatment

What role does physiotherapy play in osteochondroma treatment?

To maintain functional mobility, including range of motion, strength, and restoring proper biomechanics post-operatively.

p.32
Common Types of Primary Bone Cancer

What type of cells is Ewing's sarcoma believed to arise from?

Endothelial cells in the bone marrow.

p.20
Overview of Bone Tumors

What characteristic do giant cells exhibit when viewed under a microscope?

They show multiple nuclei.

p.42
Prognosis of Bone Cancer

What is the typical cure rate for multiple myeloma in the early stages of metastasis?

70%.

p.38
Symptoms and Diagnosis of Bone Tumors

What is a common immune system presentation in multiple myeloma?

Recurrent bacterial infections.

p.10
Management and Treatment Options for Bone Tumors

What is a key principle in the management of bone tumors?

Multidisciplinary team approach.

p.32
Common Types of Primary Bone Cancer

What percentage of pediatric bone tumors does Ewing's sarcoma account for?

Up to 45%.

p.33
Symptoms and Diagnosis of Bone Tumors

What are the possible appearances of periosteal reaction in Ewing's sarcoma?

'Onion skin' or 'sunburst' appearance.

p.32
Epidemiology

At what age range does Ewing's sarcoma most commonly occur?

Between the ages of 10 to 20 years.

p.4
Imaging Techniques for Bone Tumors

What other imaging modalities should be considered?

Should MRI, CT, or bone scans be utilized for further evaluation?

p.32
Epidemiology

Which gender is more affected by Ewing's sarcoma?

Males are affected more than females.

p.24
Management and Treatment Options for Bone Tumors

What is the treatment for inoperable or multiply recurrent giant cell tumors?

Radiotherapy, which carries a significant risk of malignant transformation.

p.27
Symptoms and Diagnosis of Bone Tumors

What might be observed during a physical examination of Osteosarcoma?

Swelling or a mass.

p.9
Staging Systems for Bone Tumors

What is the staging system used for primary malignant tumors of bone?

American Joint Committee on Cancer Staging System.

p.39
Symptoms and Diagnosis of Bone Tumors

What radiological finding is characteristic of multiple myeloma?

Multiple 'punched-out' lytic lesions.

p.16
Symptoms and Diagnosis of Bone Tumors

What unusual movement might occur due to osteochondroma?

Snapping of tendon over the tumor.

p.16
Symptoms and Diagnosis of Bone Tumors

What is a potential limitation in movement caused by osteochondroma?

Restricted range of motion.

p.16
Imaging Techniques for Bone Tumors

What does an X-ray reveal in cases of osteochondroma?

A well-defined exostosis emerging from the metaphysis, co-extensive with the parent bone.

p.16
Symptoms and Diagnosis of Bone Tumors

Where was the swelling located in the osteochondroma case?

In the lower thigh on the right side.

p.13
Overview of Bone Tumors

What happens to the epiphyseal disc in adults?

It becomes an epiphyseal line, indicating that growth has stopped.

p.43
Physiotherapy in Bone Tumor Treatment

What type of exercise programs may be beneficial for individuals with multiple myeloma?

Short, low-intensity exercise programs.

p.26
Epidemiology

Which gender is more frequently affected by Osteosarcoma?

Males.

p.18
Management and Treatment Options for Bone Tumors

What is the treatment approach for non-symptomatic osteochondroma?

Observation and regular monitoring.

p.17
Overview of Bone Tumors

What year is mentioned in the copyright notice?

2022.

p.18
Management and Treatment Options for Bone Tumors

When is pain medication used for osteochondroma?

Only if symptoms of pain are present.

p.17
Overview of Bone Tumors

Who holds the copyright for the mentioned work?

The Hong Kong Polytechnic University.

p.37
Overview of Bone Tumors

What are the common bone effects associated with multiple myeloma?

Osteoporosis and lytic lesions throughout the skeleton.

p.17
Overview of Bone Tumors

What does 'All Rights Reserved' imply?

The copyright holder retains all rights provided by copyright law.

p.39
Symptoms and Diagnosis of Bone Tumors

What is a common blood test finding in multiple myeloma?

Anemia.

p.15
Types of Bone Tumors: Benign vs. Malignant

What are the most common sites for osteochondroma?

Distal femur, proximal humerus, and proximal tibia.

p.11
Prognosis of Bone Cancer

How does the presence of metastasis affect bone cancer prognosis?

It generally worsens the prognosis.

p.30
Biopsy Procedures for Bone Tumors

What procedure is always carried out before starting treatment for osteosarcoma?

Biopsy.

p.33
Symptoms and Diagnosis of Bone Tumors

What are typical findings of Ewing's sarcoma on X-rays?

An area of bone destruction predominantly in the mid-diaphysis.

p.39
Symptoms and Diagnosis of Bone Tumors

What condition can occur due to affected bones leaking calcium in multiple myeloma?

Hypercalcaemia.

p.27
Symptoms and Diagnosis of Bone Tumors

What effect does Osteosarcoma have on limb movement?

Decreased movement of the affected limb.

p.30
Management and Treatment Options for Bone Tumors

In what situation might amputation be considered for osteosarcoma patients?

When it may be more appropriate in some cases.

p.10
Management and Treatment Options for Bone Tumors

How are benign, asymptomatic lesions typically managed?

Monitoring and biopsy.

p.7
Staging Systems for Bone Tumors

What is the MSTS (Enneking) system used for?

Staging of bone tumors.

p.10
Management and Treatment Options for Bone Tumors

What is the management approach for benign, symptomatic, or enlarging tumors?

Local (marginal) excision or curettage for benign cysts.

p.21
Symptoms and Diagnosis of Bone Tumors

What physical sign may indicate a giant cell tumor?

Swelling.

p.39
Symptoms and Diagnosis of Bone Tumors

What protein is detected in urine protein electrophoresis in 50% of multiple myeloma patients?

Bence Jones protein.

p.16
Symptoms and Diagnosis of Bone Tumors

What sensations might a patient experience with osteochondroma?

Numbness and tingling.

p.9
Staging Systems for Bone Tumors

What does G1 represent in histological grading?

Low grade, well differentiated.

p.32
Symptoms and Diagnosis of Bone Tumors

What causes numbness, tingling, or paralysis in Ewing's sarcoma patients?

Nerve compression from the tumor.

p.7
Staging Systems for Bone Tumors

What is the focus of the Enneking Staging System?

Primary malignant bone tumors.

p.16
Overview of Bone Tumors

What is the age and gender of a typical osteochondroma patient mentioned?

Male, 25 years old.

p.19
Common Types of Primary Bone Cancer

Can giant cell tumors affect other areas besides the limbs?

Yes, they can also affect the sacrum and vertebrae.

p.26
Common Types of Primary Bone Cancer

What type of tumor is Osteosarcoma?

A highly malignant tumor arising within the bone.

p.8
Overview of Bone Tumors

What are the Enneking stages used for?

To classify bone tumors based on their growth and spread.

p.43
Physiotherapy in Bone Tumor Treatment

What is a critical intervention for individuals at risk for pathologic fractures?

Implementation of fall prevention programs.

p.3
Symptoms and Diagnosis of Bone Tumors

What might be observed regarding the mass in a bone tumor?

The mass can be discrete or ill-defined, soft or hard, and may be pulsatile.

p.11
Prognosis of Bone Cancer

What factors influence the prognosis of bone cancer?

Overall stage of disease, presence of metastasis, skip lesions, histologic grade, and tumor size.

p.15
Types of Bone Tumors: Benign vs. Malignant

What percentage of all benign bone tumors is osteochondroma responsible for?

Approximately 35%.

p.41
Management and Treatment Options for Bone Tumors

What is a common treatment for multiple myeloma?

Chemotherapy.

p.1
Types of Bone Tumors: Benign vs. Malignant

What can malignant bone tumors do?

They can metastasize.

p.12
Overview of Bone Tumors

What is the epiphyseal disc also known as?

Growth plate or physeal plate.

p.31
Prognosis of Bone Cancer

What has been the trend in the long-term survival rate of osteosarcoma in recent years?

Improved to over 60%.

p.35
Physiotherapy in Bone Tumor Treatment

What should be taught to a child if amputation is performed due to Ewing's sarcoma?

How to use the prosthesis.

p.6
Staging Systems for Bone Tumors

What type of bone tumors does the Enneking Staging System primarily address?

Primary benign bone tumors.

p.28
Symptoms and Diagnosis of Bone Tumors

What are typical symptoms of osteosarcoma?

Swelling or a mass and limited range of motion in the nearby joint.

p.34
Biopsy Procedures for Bone Tumors

What procedure is performed to assess bone marrow involvement in Ewing's sarcoma?

Bone marrow biopsy.

p.41
Management and Treatment Options for Bone Tumors

What is a treatment option for patients with severe multiple myeloma?

Stem cell transplant.

p.28
Imaging Techniques for Bone Tumors

What is a characteristic X-ray finding in osteosarcoma?

A 'cumulus cloud' appearance, which is a white, cloud-like lesion.

p.38
Symptoms and Diagnosis of Bone Tumors

How does multiple myeloma affect the circulatory system?

It causes anemia, leading to weakness and fatigue.

p.27
Symptoms and Diagnosis of Bone Tumors

What type of fracture may be present in Osteosarcoma patients?

Pathological fracture.

p.6
Staging Systems for Bone Tumors

What characterizes aggressive lesions in bone tumors?

They exhibit rapid growth and potential for invasion.

p.28
Imaging Techniques for Bone Tumors

What is the 'sunburst' pattern in osteosarcoma?

Formation of new bone that radiates outwards from the cortex.

p.16
Symptoms and Diagnosis of Bone Tumors

What is a common symptom of osteochondroma?

A painless mass near a joint, often in the knee or shoulder.

p.42
Prognosis of Bone Cancer

Why is kidney function important in determining prognosis for multiple myeloma?

It is one of the factors that can influence patient outcomes.

p.6
Types of Bone Tumors: Benign vs. Malignant

What are benign bone tumors?

Tumors that are non-cancerous and typically do not spread.

p.32
Symptoms and Diagnosis of Bone Tumors

What are common symptoms of Ewing's sarcoma?

Pain, warm and tender swelling, generalized illness, fever, numbness, tingling, or paralysis.

p.38
Symptoms and Diagnosis of Bone Tumors

What urinary system complications can arise from multiple myeloma?

Renal insufficiency and kidney stones.

p.7
Types of Bone Tumors: Benign vs. Malignant

What characterizes high grade (G2) malignant bone tumors?

Very aggressive and metastasize early.

p.16
Symptoms and Diagnosis of Bone Tumors

What changes might occur in blood flow due to osteochondroma?

Changes in blood flow can occur.

p.38
Symptoms and Diagnosis of Bone Tumors

What type of pain is commonly reported in multiple myeloma patients?

Back pain.

p.43
Physiotherapy in Bone Tumor Treatment

What is a key focus of physiotherapy in multiple myeloma?

Prevention and management of skeletal muscle wasting, cancer-related fatigue, and pathologic fractures.

p.2
Overview of Bone Tumors

How can age be useful in the context of bone tumors?

Age may be a useful clue in diagnosing bone tumors.

p.15
Types of Bone Tumors: Benign vs. Malignant

What is an osteochondroma?

An overgrowth of cartilage at the edge of the physeal plate that develops into a bony protuberance still covered by a cap of cartilage.

p.15
Types of Bone Tumors: Benign vs. Malignant

What percentage of all bone tumors does osteochondroma account for?

10-15%.

p.8
Types of Bone Tumors: Benign vs. Malignant

What characterizes extracompartmental bone cancer?

The cancer has grown through the bone wall.

p.31
Physiotherapy in Bone Tumor Treatment

What impairments does physiotherapy aim to correct in osteosarcoma patients?

Balance and coordination impairments.

p.11
Prognosis of Bone Cancer

What does the overall stage of bone cancer incorporate?

It incorporates factors like presence of metastasis, skip lesions, histologic grade, and tumor size.

p.18
Management and Treatment Options for Bone Tumors

What are the indications for surgery in osteochondroma cases?

Pain with activity, pressure on a nerve or blood vessel, presence of a larger cartilage cap, and fully matured bone growth.

p.11
Prognosis of Bone Cancer

What are skip lesions in the context of bone cancer?

Discontinuous lesions within the same bone.

p.30
Symptoms and Diagnosis of Bone Tumors

What is the purpose of a Positron Emission Tomography (PET) scan in osteosarcoma diagnosis?

To detect small tumors that have spread.

p.33
Imaging Techniques for Bone Tumors

What imaging technique is commonly used to diagnose Ewing's sarcoma?

X-rays.

p.34
Imaging Techniques for Bone Tumors

What is the purpose of a PET scan in the context of Ewing's sarcoma?

To find small tumors and may show multiple areas of 'hot' lesions.

p.37
Epidemiology of Bone Tumors

Is multiple myeloma common before the age of 40?

No, it is uncommon before the age of 40.

p.27
Symptoms and Diagnosis of Bone Tumors

What physical symptom may accompany Osteosarcoma?

Swelling.

p.20
Common Types of Primary Bone Cancer

What type of tumor is associated with giant cells?

Giant cell tumor of bone.

p.24
Types of Bone Tumors: Benign vs. Malignant

What are the characteristics of giant cell tumors?

Well-confined, slow-growing lesions with benign histology.

p.11
Prognosis of Bone Cancer

Why is tumor size important in assessing bone cancer prognosis?

Larger tumors may indicate a more advanced disease and poorer prognosis.

p.6
Staging Systems for Bone Tumors

What are active lesions in the context of bone tumors?

Bone tumors that show signs of growth or activity.

p.28
Imaging Techniques for Bone Tumors

What does the presence of a Codman triangle indicate in osteosarcoma?

An elevation of the periosteum from the surface of the bone.

p.38
Symptoms and Diagnosis of Bone Tumors

What skeletal system issues are associated with multiple myeloma?

Bone destruction, localized bone pain, pathological fractures, and vertebral collapse.

p.27
Symptoms and Diagnosis of Bone Tumors

What is a physical examination finding in Osteosarcoma?

Tenderness over the bone.

p.7
Types of Bone Tumors: Benign vs. Malignant

What are the two grades of malignant bone tumors?

Low grade (G1) and high grade (G2).

p.10
Diagnosis and Treatment Options for Bone Tumors

What is done for suspected malignant tumors?

More detailed examination to confirm diagnosis and staging.

p.32
Common Types of Primary Bone Cancer

Which bones are primarily affected by Ewing's sarcoma?

Long tubular bones (e.g., femur, tibia).

p.24
Management and Treatment Options for Bone Tumors

What is intracystic curettage?

A treatment method for benign bone tumors involving scraping out the tumor.

p.39
Symptoms and Diagnosis of Bone Tumors

What general condition of the bones is observed in multiple myeloma?

Generalised osteopenia.

p.7
Staging Systems for Bone Tumors

What are intracompartmental tumors (T1)?

Tumors that are still inside the bone.

p.16
Symptoms and Diagnosis of Bone Tumors

What appearance might large osteochondroma lesions have?

A 'cauliflower' appearance, with degeneration and calcification in the center of the cartilage cap.

p.9
Staging Systems for Bone Tumors

What does M1a indicate in metastasis classification?

Lung-only metastases.

p.2
Overview of Bone Tumors

What is a common characteristic of bone tumors regarding symptoms?

Patients may be completely asymptomatic until the abnormality is discovered on X-ray.

p.3
Symptoms and Diagnosis of Bone Tumors

What changes in the overlying skin may indicate a bone tumor?

Changes such as warmth in the skin.

p.8
Types of Bone Tumors: Benign vs. Malignant

What characterizes intracompartmental bone cancer?

The cancer has not grown through the bone wall or spread to other parts of the body.

p.31
Physiotherapy in Bone Tumor Treatment

What is an important aspect of physiotherapy for managing osteosarcoma?

Pain control.

p.12
Overview of Bone Tumors

What are the enlarged ends of a long bone called?

Epiphysis.

p.3
Symptoms and Diagnosis of Bone Tumors

How can a bone tumor affect nearby joints?

It may cause effusion or limitation of movement.

p.22
Symptoms and Diagnosis of Bone Tumors

What is a common physical examination finding in giant cell tumors?

A palpable mass with warmth of the overlying tissues.

p.15
Types of Bone Tumors: Benign vs. Malignant

At what age range does osteochondroma most often occur?

Between ages 10 and 30.

p.35
Physiotherapy in Bone Tumor Treatment

Why must caution be taken during post-operative physiotherapy for Ewing's sarcoma?

Due to the impaired healing process caused by chemotherapy.

p.6
Staging Systems for Bone Tumors

What is the MSTS (Enneking) system used for?

Staging of bone tumors.

p.28
Symptoms and Diagnosis of Bone Tumors

What is a common physical examination finding in osteosarcoma?

Tenderness over the bone.

p.22
Imaging Techniques for Bone Tumors

What characteristic appearance may giant cell tumors show on X-rays?

A 'soap-bubble' appearance.

p.41
Management and Treatment Options for Bone Tumors

What role do corticosteroids play in multiple myeloma treatment?

They are used as part of the treatment regimen.

p.37
Epidemiology of Bone Tumors

Which gender is more affected by multiple myeloma?

Males are affected more than females.

p.22
Types of Bone Tumors: Benign vs. Malignant

What happens to the cortex in giant cell tumors?

The cortex is thin.

p.41
Symptoms and Diagnosis of Bone Tumors

What is a significant risk for patients with multiple myeloma?

They are prone to infections.

p.22
Common Types of Primary Bone Cancer

Where is a giant cell tumor commonly located in the body?

In the lower end of the thighbone.

p.41
Management and Treatment Options for Bone Tumors

What prophylactic measures can help prevent infections in multiple myeloma patients?

Influenza vaccine, antibiotics during chemotherapy induction, and intravenous immunoglobulin for recurrent infections.

p.39
Symptoms and Diagnosis of Bone Tumors

What is a common urinary finding in patients with multiple myeloma?

Proteinuria.

p.41
Management and Treatment Options for Bone Tumors

What is important for pain management in multiple myeloma?

Pain control and treatment of pathological fractures.

p.4
Imaging Techniques for Bone Tumors

What is the significance of comparing previous imaging?

How do the current findings compare to previous imaging studies?

p.38
Symptoms and Diagnosis of Bone Tumors

What skeletal condition is often seen in patients with multiple myeloma?

Osteoporosis.

p.10
Management and Treatment Options for Bone Tumors

What are some treatment options for malignant bone tumors?

Amputation, limb-sparing operations, and different types of adjuvant therapy (chemotherapy, radiotherapy).

p.21
Symptoms and Diagnosis of Bone Tumors

What serious complication can occur with a giant cell tumor?

Pathological fracture.

p.19
Types of Bone Tumors: Benign vs. Malignant

Are giant cell tumors cancerous?

They are aggressive non-cancerous tumors.

p.9
Staging Systems for Bone Tumors

What does T2 indicate in tumor size classification?

Tumors greater than 8 cm.

p.3
Symptoms and Diagnosis of Bone Tumors

What is a common physical examination finding in bone tumors?

Swelling or tenderness in the area of the tumor.

p.31
Physiotherapy in Bone Tumor Treatment

What is a key focus of physiotherapy for osteosarcoma patients?

Early postsurgical mobility training, strength and endurance restoration.

p.25
Physiotherapy in Bone Tumor Treatment

What role does physiotherapy play in the treatment of giant cell tumors?

It helps in pain reduction, improved mobility, and restoring previous levels of function.

p.35
Management and Treatment Options for Bone Tumors

What is the typical treatment sequence for Ewing's sarcoma?

Preoperative chemotherapy followed by surgical resection and maintenance chemotherapy, along with adjuvant radiotherapy.

p.25
Physiotherapy in Bone Tumor Treatment

How can physiotherapy improve a patient's daily activities?

By improving cardiovascular fitness to prevent fatigue.

p.35
Physiotherapy in Bone Tumor Treatment

What is the focus of pre-operative physiotherapy for Ewing's sarcoma?

Strengthening of the affected limb and aerobic conditioning.

p.25
Physiotherapy in Bone Tumor Treatment

What is one goal of physiotherapy related to joint health?

To decrease joint stiffness.

p.5
Biopsy Procedures for Bone Tumors

What is a needle biopsy?

A procedure where a needle is inserted into the tumor to remove tissue under local anesthetic.

p.34
Imaging Techniques for Bone Tumors

What does MRI often reveal in cases of Ewing's sarcoma?

A large soft tissue component.

p.41
Management and Treatment Options for Bone Tumors

What supportive measures are important in treating multiple myeloma?

Correcting fluid balance, anemia, and hypercalcemia.

p.4
Imaging Techniques for Bone Tumors

What should be assessed regarding the patient's history?

What is the patient's medical history and symptoms?

p.39
Symptoms and Diagnosis of Bone Tumors

What renal issue is associated with multiple myeloma?

Renal insufficiency, indicated by raised creatinine levels and electrolyte disturbances.

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Types of Bone Tumors: Benign vs. Malignant

Can osteochondromas occur in flat bones?

Yes, they can also occur in flat bones such as the ilium and scapula.

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Prognosis of Bone Cancer

What is the significance of histologic grade in bone cancer prognosis?

It helps determine the aggressiveness of the tumor.

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Management and Treatment Options for Bone Tumors

What is the common treatment approach for osteosarcoma?

Combination of chemotherapy and surgery.

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Symptoms and Diagnosis of Bone Tumors

What can the lesion in Ewing's sarcoma be like?

It may be purely lytic or have variable amounts of reactive new bone formation.

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Prognosis of Bone Cancer

What is the overall 5-year survival rate for multiple myeloma if the disease has spread?

Around 35%.

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Management and Treatment Options for Bone Tumors

What is the treatment for well-confined giant cell tumors?

Curettage and packing with bone chips.

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Prognosis of Bone Cancer

What factors determine the prognosis for patients with multiple myeloma?

Stage of the disease, age of patient, health condition at diagnosis, kidney function, growth rate of cancer cells, and certain chromosome changes.

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Management and Treatment Options for Bone Tumors

What is the treatment for more aggressive giant cell tumors or recurrent lesions?

Excision followed by bone grafting or prosthetic replacement.

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Prognosis of Bone Cancer

How does the stage of the disease affect prognosis in multiple myeloma?

It is one of the key factors determining prognosis.

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Staging Systems for Bone Tumors

What is the significance of staging in bone tumors?

It helps determine the treatment approach and prognosis.

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Types of Bone Tumors: Benign vs. Malignant

What characterizes low grade (G1) malignant bone tumors?

Moderately aggressive.

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Epidemiology

In which age group do giant cell tumors typically occur?

Young adults, approximately 20 to 40 years.

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Epidemiology

Which gender is more commonly affected by giant cell tumors?

Female.

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Types of Bone Tumors: Benign vs. Malignant

What is a potential risk associated with giant cell tumors?

They have the potential to transform into an osteosarcoma.

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Prognosis of Bone Cancer

What percentage of giant cell tumors can metastasize to the lung?

About 5%.

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Overview of Bone Tumors

What is an overview of bone tumors?

A general summary of the types, characteristics, and staging of bone tumors.

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Imaging Techniques for Bone Tumors

What type of lesion is typically seen in giant cell tumors on X-rays?

A destructive (lytic) epiphyseal/metaphyseal lesion.

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Epidemiology of Bone Tumors

At what age does multiple myeloma usually occur?

Around the age of 60.

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Symptoms and Diagnosis of Bone Tumors

What is a common symptom of Osteosarcoma?

Pain that may worsen at night and gradually increases in severity.

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Physiotherapy in Bone Tumor Treatment

Who may be the first to relate the signs and symptoms experienced by a patient with giant cell tumors?

The physiotherapist.

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Biopsy Procedures for Bone Tumors

What type of anesthesia is used for an open biopsy?

General anesthesia.

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Imaging Techniques for Bone Tumors

What is the typical border appearance of giant cell tumors on X-rays?

Usually have a nonsclerotic and sharply defined border.

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Staging Systems for Bone Tumors

What is the lowest grade in the Enneking Staging System?

Latent lesions.

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Symptoms and Diagnosis of Bone Tumors

What is often elevated in multiple myeloma and indicates inflammation?

Erythrocyte sedimentation rate (ESR).

p.5
Biopsy Procedures for Bone Tumors

What other tests may be conducted alongside biopsies?

Blood and urine tests.

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Symptoms and Diagnosis of Bone Tumors

What specific protein is identified in serum protein electrophoresis for multiple myeloma?

M protein.

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Types of Bone Tumors: Benign vs. Malignant

What percentage of all primary bone tumors do giant cell tumors account for?

5%.

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Types of Bone Tumors: Benign vs. Malignant

What percentage of benign bone tumors are giant cell tumors?

20%.

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Symptoms and Diagnosis of Bone Tumors

How does Osteosarcoma affect the range of motion in nearby joints?

It may cause a limited range of motion.

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Overview of Bone Tumors

What is an overview of bone tumors?

A general understanding of the types, characteristics, and implications of bone tumors.

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Staging Systems for Bone Tumors

What does G4 represent in histological grading?

High grade, undifferentiated.

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Symptoms and Diagnosis of Bone Tumors

What neurological issue can occur due to multiple myeloma?

Spinal cord compression.

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Staging Systems for Bone Tumors

What is the size classification for tumors that are 8 cm or less?

T1.

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Staging Systems for Bone Tumors

What does M1b indicate in metastasis classification?

Metastases to other distant sites, including distant lymph nodes.

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Common Types of Primary Bone Cancer

What is the difference between primary and secondary bone cancer?

<p>Primary bone cancer originates from the bone, while secondary bone cancer originates from other body parts, and spreads to other organs, like lung cancer.</p>

Study Smarter, Not Harder
Study Smarter, Not Harder