Skel Rad Final Review

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nakomarose
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34483
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Skel Rad Final Review
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2010-09-13 13:57:31
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Skel Rad final review
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  1. What are the top 3 benign bone tumors?
    • Osteochondroma
    • Chondroma
    • Osteoma
  2. What are the big 6 MC malignancies that spread to the skeleton?
    • Breast 2o metastasis
    • Lung 2o metastasis
    • Prostate 2o metastasis
    • Kidney 2o metastasis
    • Ewing's 1o metastasis
    • Neuroblastoma 2o metastasis
  3. What is the MC malignancy?
    Metastasis
  4. What is the MC 1o malignancy?
    • Multiple myeloma
    • Osteosarcoma
    • Chondrosarcoma
    • Ewing's sarcoma
    • Fibrosarcoma
  5. What is the MC 1o malignancy under 30 yo?
    Osteosarcoma
  6. What is the MC 1o malignancy under 10 yo?
    Ewing's sarcoma
  7. What is the MC tumor of the patella?
    Giant cell tumor
  8. What is the MC tumor-like condition?
    Fibrous dysplasia
  9. What is the MC BT of spine?
    Hemangioma
  10. What is the MC BT of sacrum?
    Giant cell tumor
  11. What is the MC BT of hand?
    Chondroma/ enchondroma
  12. What is the MC BT of clavicle?
    aneurysmal bone cyst
  13. What is the MC PMT to metastasize to bone?
    Ewing's sarcoma
  14. What is the MC PMT of clivus?
    Chordoma
  15. What is the MC PMT of C2?
    chordoma
  16. What is the MC PMT of hand?
    Chondroma
  17. What is the MC PMT of chest wall?
    Chondrosarcoma
  18. What is the ONLY PMT w/ sequestration?
    Fibrosarcoma
  19. What are the 3 top Ivory vertebra lesions?
    • Blastic metastasis- 50-70 yo, not enlarged
    • Hodgkin's lymphoma- 20-40 yo, A scalloping
    • Paget's disease- 40-60 yo, enlarged & square
  20. What are the vertebral body lesions? (MOM LOACH)
    • Metastasis- 50-70 yo, blastic or lytic
    • Osteoblastoma- 1-50 yo, geographic expansile
    • MM- 50-70 yo, punched out
    • Lymphoma- 20-40 yo, A scalloping
    • Osteoid osteoma- 100-30 yo, nidus
    • Aneurysmal bone cyst- 11-30 yo, geographic
    • Chordoma- 41-70 yo, lytic w/ soft tissue mass
    • Hemangioma- 41-50 yo, alternating striations
  21. What are the sacrum lesions?
    • Chondrosarcoma- 40-60 yo, soap bubble lesion
    • Chordoma- 40-70 yo, lytic w/ soft tissue mass
    • Giant cell tumor- 20-40 yo, soap bubble
    • Metastasis- 50-70 yo, blastic or lytic
    • MM- 50-70 yo, punched out
    • Paget's disease- 40-60 yo, cortical thickening
  22. What are the epiphyseal tumors?
    • Chondroblastoma- benign tumor
    • Giant cell tumor- PQMT (primary quasi malignant tumor)
  23. What are the diaphyseal tumors?
    • Ewing's sarcoma- PMT, 10-25 yo, no pain, moth eaten
    • MM- PMT, 50-70 yo, PAIN, punched out
    • Non-Hodgkin's lymphoma- PMT, 21-40 yo, no pain, moth eaten w/ mass
  24. What are the cortical tumors?
    • Osteoblastoma- BT, 1-50 yo, femur & spine, pain, geographic expansile
    • Osteoid osteoma- BT, 11-30 yo, long bone, spine. PAIN, blastic w/ nidus
    • Osteoma- BT, any age, skull, no pain, blastic
    • Parosteal osteoma-PMT, 31-50 yo, long bone, PAIN, blastic w/ stalk
    • Periosteal osteoma-PMT
    • Hemangioma-P vasular BT, 41-50 yo, spine, skull, no pain, alternating striations
    • Paget's disease- tumor like- 40-60 yo, skull, spine, pelvis, cortical thickening
    • Paget's disease
  25. What are tumors of the cranial vault?
    • Osteoma- BT, blastic
    • MM- PMT, punched out
    • Chordoma- PVMT, lower skull, lytic w/ soft tissue mass
    • Hemangioma- PVBT, alternating striations
    • Cholestatoma- TL, in ear canal, geographic
    • Paget's disease- TL, cortical thickening
  26. What are the tumors of the mandible?
    • Osteoma- BT, blastic
    • Plasmacytoma- PMT, geographic
    • Brown tumor- TL, geographic
  27. What are the tumors of the cervical spine?
  28. What are the tumors of the thoracic spine?
  29. What are the tumors of the lumbar spine?
  30. What are the tumors of the ribs?
  31. What are the tumors of the pelvis?
  32. What are the tumors of the humerus?
  33. What are the tumors of the radius/ulna?
  34. What are the tumors of the hand/phalanges?
  35. What are the tumors of the proximal femur?
  36. What are the tumors of the distal femur?
  37. What are the tumors of the proximal & distal femur?
  38. What are the tumors of the proximal tibia/fibula?
  39. What are the tumors of the proximal & distal tibia/fibula?
  40. What are the tumors of the foot/ankle?
  41. What are the tumors in the first decade?
    • Ewing's sarcoma-PMT
    • Fibrous dysplasia
    • Neuroblastoma- SMT
    • Osteoblastoma
    • Osteochondroma
    • Simple bone cyst
  42. What are the tumors in the second decade?
    • Aneurysmal bone cyst
    • Chondroblastoma
    • Chondroma/enchondroma
    • Chondromyxoid fibroma
    • Ewing's sarcoma- PMT
    • Fibrous dysplasia
    • Osteoblastoma
    • Osteochondroma
    • Osteoid osteoma
    • Osteosarcoma- PMT
    • Non-ossifying fibroma
    • Simple bone cyst
  43. What are the tumors in the 3rd decade?
    • Aneurysmal bone cyst
    • Chondroblastoma
    • Chondroma/enchondroma
    • Chondromyxoid fibroma
    • Ewing's sarcoma- PMT
    • Giant cell tumor- PQMT
    • Non-hodgkins lymphoma- PMT
    • Osteoblastoma
    • Osteoid osteoma
    • Osteosarcoma- PMT
  44. What are the tumors in the 4th decade?
    • Chondrosarcoma- PMT
    • Fibrosarcoma- PVMT
    • Giant cell tumor- PQMT
    • Non-Hodgkin's lymphoma- PMT
    • Osteoblastoma
    • Parosteal osteosarcoma- PMT
  45. What are the tumors in the 5th decade?
    • Chondromyxoid fibroma
    • Chondrosarcoma- PMT
    • Chordoma- PVMT
    • Hemangioma
    • MM- PMT
    • Plasmacytoma- PMT
    • Metastasis- SMT
    • Osteoblastoma
    • Parosteal osteosarcoma- PMT
    • Paget's disease- TL
  46. What are the tumors in the 6th decade?
    • Chondromyxoid fibroma
    • Chondrosarcoma- PMT
    • Chordoma- PVMT
    • Metastasis- SMT
    • MM- PMT
    • Paget's disease- TL
  47. What are the tumors in the 7th decade?
    • Chordoma- PVMT
    • Metastasis- SMT
    • MM- PMT
    • Osteoblastoma
  48. What are the tumors w/ female predilection?
    • Osteoma- BT 3:1
    • Giant cell tumor- BT 3:2
    • Hemangioma- PVBT
    • Aneurysmal bone cyst- TL 3:2
  49. What are the tumors w/ male predilection?
    • Chondroblastoma-BT 2:1
    • Osteoblastoma- BT 2:1
    • Osteochondroma- BT 2:1
    • Osteoid Osteoma- BT 2:1
    • Chondrosarcoma- PMT 2:1
    • Ewing's sarcoma- PMT 2:1
    • MM- PMT 2:1
    • Non-Hodgkin's lymphoma- PMT 2:1
    • Osteosarcoma- PMT 2:1
    • Giant cell tumor- PQMT 3:1
    • Chordoma- PVMT 2:1
    • Non-ossifying fibroma- TL 2:1
    • Simple bone cyst- TL 2:1
  50. What are the tumors with a lytic, moth eaten appearance?
    • Ewing's sarcoma- PMT
    • Metastasis- SMT
  51. What are the tumors w/ a lytic, permeative appearance?
    • Chondroma/enchondroma- BT
    • Ewing's sarcoma- PMT
    • Non-Hodgkin's lymphoma- PMT
    • Metastasis- SMT
  52. What are the tumors w/ a lytic, punched out appearance?
    MM- PMT
  53. What are the tumors w/ a blastic, solid appearance?
    • Osteoid osteoma- BT
    • Osteoma- BT
    • Osteosarcoma- PMT
    • Parosteal osteosarcoma- PMT
    • Metastasis- SMT
  54. What are the tumors w/ a blastic, cotton wool appearance?
    Metastasis- SMT
  55. What are the tumors w/ a solid periosteal reaction?
    Osteoid osteoma- BT
  56. What are the tumors w/ a laminated periosteal reaction?
    • Ewing's sarcoma- PMT
    • Non-Hodgkin's lymphoma- PMT
    • Metastasis- SMT
  57. What are the tumors w/ a spiculated periosteal reaction?
    • Ewing's sarcoma- PMT
    • Non-Hodgkin's lymphoma- PMT
    • Osteosarcoma- PMT
  58. What are the tumors w/ a sunburst periosteal reaction?
    Metastasis- SMT
  59. What are the soap bubble lesions? (MAC FOGS MEN)
    • MM
    • Aneurysmal bone cyst
    • Chondroblastoma
    • Fibrous dysplasia
    • Osteoblastoma
    • Giant cell tumor
    • Simple bone cyst
    • Metastasis
    • Enchondroma
    • Non-ossifying fibroma
  60. What are the tumors w/ pain?
    • Chondroblastoma- BT
    • Chondromyxoid fibroma- BT
    • Osteoblastoma- BT
    • Osteochondroma- BT
    • Osteoid osteoma- BT
    • MM- PMT
    • Osteosarcoma- PMT
    • Parosteal osteosarcoma- PMT
    • Periosteal osteosarcoma- PMT
    • Plasmacytoma- PMT
    • Metastasis- SMT
    • Giant cell tumor- PQMT
    • Fibrosarcoma- PVMT
    • Aneurysmal bone cyst- TL
  61. What is the aka for osteochondroma?
    exostosis
  62. What is the aka for chondromyxoid fibroma?
    fibromyxoid chondroma
  63. What is the aka for chondroblastoma?
    Codman's tumor
  64. What is the aka for Giant cell tumor?
    osteoclastoma
  65. What is the aka for Ewing's sarcoma?
    round cell tumor
  66. What is the aka for Non-Hodgkins lymphoma?
    • primary reticular cell sarcoma
    • round cell tumor
  67. What is the aka for MM
    round cell tumor
  68. What is the aka for a simple bone cyst?
    • solitary bone cyst
    • unicameral bone cyst
  69. What is the aka for non-ossifying fibroma?
    fibrous xanthoma
  70. What is the aka for fibrous dysplasia?
    Osteitis fibrosa
  71. What is the aka for paget's disease?
    Osteitis deformans
  72. Pt presents w/ the following conditions: Location: distal phalynx, age: 28, pain: yes, appearance: well-marginated. What is the differential diagnosis?
    Enchondroma: 50% have calcium, epidermoid inclusion cyst is another, glomus tumor is another
  73. 17 yo female presents w/ following conditions: insidious onset & progressively worsening w/ midlumbar pain. No fever/trauma. No response w/ several weeks of care. Goes to another DC. X-rays taken. Appearance: L2 spinous expansile radiolucent lesion
    Osteoclastoma, giant cell; actually an aneurysmal bone cyst
  74. 58 yo female presents w/ post treatment appt following 2 yo diagnosis of breast cancer w/ low back pain. After several weeks of care, pt does not respond. What is differential diagnosis?
    Possible metastasis; refer if bone scan positive
  75. 58 yo female pt presents w/ post treatment appt following 2 yo diagnosis of rectal cancer w/ low back pain. After several weeks of care, pt does not respond. What is differential diagnosis?
    Less likely metastasis; bone scan to confirm

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